KACEY KLEIN (NPI# 1336792902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336792902 |
| Entity Type | Individual |
| Full Name | KACEY KLEIN |
| Practice Address |
1963 4th Ave San Diego CA 92101 |
| Mailing Address |
1963 4th Ave San Diego CA 92101-2394 |
| Practice Telephone | 6192333432 |
| Mailing Telephone | 6192333432 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18778 Hillsboro Rd, Northridge, CA 913263907 | 8186743428 |
| Street Address |
1963 4TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144267642 | Darlene Mcmiddleton | Nurse Practitioner | 1963 4th Ave, San Diego, CA 92101-2394 | 2006-06-01 |
| 1477154177 | Tara Nicola Milanes | Marriage & Family Therapist | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-11-08 |
| 1881293595 | Liron Mazal Goldring | Counselor | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-10-22 |
| 1578171005 | Alana Christine Snelling | Counselor | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-07-21 |
| 1689291189 | Patricia Ann Talbert | Student in an Organized Health Care Education/Training Program | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-06-30 |
| 1467077396 | Hannah Ruth Miles | Student in an Organized Health Care Education/Training Program | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-06-16 |
| 1194349571 | Courtney Lynn Welsh | Student in an Organized Health Care Education/Training Program | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-06-02 |
| 1477172492 | Alexa Theodora Douros | Student in an Organized Health Care Education/Training Program | 1963 4th Ave, San Diego, CA 92101-2394 | 2020-04-09 |
| 1568007920 | Kathryn Smith | Counselor | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-11-08 |
| 1811546633 | Christine Marie Croft | Counselor | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on KACEY KLEIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.