KIMBERLY NICOLE GREEN (NPI# 1407129687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129687 |
| Entity Type | Individual |
| Full Name | KIMBERLY NICOLE GREEN |
| Credential | MA, MFT I |
| Practice Address |
2258 Rosecrans Ave Fullerton CA 92833-1742 |
| Mailing Address |
Po Box 88591 Los Angeles CA 90009-8591 |
| Practice Telephone | 3235133428 |
| Mailing Telephone | 3235133428 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF55259 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060531 | Kimberly Green | Technician | 1793 Trap Springs Rd, Grafton, WV 26354-4520 | 2020-10-13 |
| 1851959902 | Kimberly Marie Green | Registered Nurse | 1132 Long Mdw, Salado, TX 76571-5453 | 2019-06-04 |
| 1770091373 | Kimberly Green | Speech-Language Pathologist | 3228 Mason Dr, Plano, TX 75025-4536 | 2018-01-17 |
| 1750822607 | Kimberly Green | Counselor | 238 Nicholson St Ne, Washington, DC 20011-2510 | 2017-03-12 |
| 1871990317 | Kimberly Green | Speech-Language Pathologist | 656 Players Crossing Way, Bowling Green, KY 42104-5534 | 2014-11-27 |
| 1902187909 | Kimberly Green | Registered Nurse | 11838 193rd St, Saint Albans, NY 11412-3339 | 2011-09-02 |
| 1891083887 | Kimberly Dainelle Green | Contractor | 761 Poplar St, Suite # 2 I, Macon, GA 31201-2082 | 2011-07-12 |
| 1447424197 | Kimberly Michelle Green | Internal Medicine | 1718 E 4th St Ste 807, Charlotte, NC 28204-3280 | 2008-04-14 |
| 1720174873 | Kimberly J Green | General Practice | 1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875 | 2006-10-05 |
| 1881702280 | Kimberly Cannon Green | Occupational Therapist | 102 West Sencea St, Suite 206, Manlius, NY 13104 | 2006-08-26 |
| Street Address |
2258 ROSECRANS AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205119591 | Allied Community Care & Support Systems, Inc | Case Management | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2011-09-22 |
| 1386998185 | Innovative Health Access, Inc | Case Management | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2012-10-31 |
| 1750635553 | Healthy Horizons Home Health Inc | Home Health | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2012-10-31 |
| 1851647200 | Angela Jean Perry | Licensed Vocational Nurse | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2012-08-02 |
| 1689933061 | Rosemarie Balandra | Registered Nurse | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2012-05-07 |
| 1356613053 | Harold J Pyun | Social Worker | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2012-01-27 |
| 1841568920 | Oyunbileg Dashdavaa | Registered Nurse | 2258 Rosecrans Ave, Fullerton, CA 92833-1742 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714047 | Jessie Lynn Brucki | Marriage & Family Therapist | 2016 E Chapman Ave Ste 111, Fullerton, CA 92831-4191 | 2020-06-12 |
| 1427671411 | Mieka K Bledsoe | Marriage & Family Therapist | 1800 Brea Blvd # A4, Fullerton, CA 92835-3934 | 2020-05-25 |
| 1548800923 | Taylor Marie Ramsey | Marriage & Family Therapist | 2601 E Chapman Ave Ste 11, Fullerton, CA 92831-3737 | 2020-01-13 |
| 1699310375 | Elizabeth Darrigo-patrick | Marriage & Family Therapist | 2701 E Chapman Ave Ste 203, Fullerton, CA 92831-3751 | 2019-11-17 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1427537414 | Kevin Downing | Marriage & Family Therapist | 1370 Brea Blvd Ste 245, Fullerton, CA 92835-4173 | 2018-08-09 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1750836573 | Caitlin Williams | Marriage & Family Therapist | 609 N Harbor Blvd, Fullerton, CA 92832-1517 | 2016-08-22 |
| 1376931998 | Maryam Rasouli | Marriage & Family Therapist | 2601 E Chapman Ave Ste 102, Fullerton, CA 92831-3737 | 2015-01-05 |
| 1003232547 | Lighthouse Family Counseling Inc. | Marriage & Family Therapist | 1440 N. Harbor Blvd., Suite 908, Fullerton, CA 92838 | 2014-03-07 |
| Find all providers in FULLERTON | ||||
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| 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.