MR. KIM K. MCINTYRE (NPI# 1457697989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457697989 |
| Entity Type | Individual |
| Full Name | MR. KIM K. MCINTYRE |
| Credential | LPC |
| Practice Address |
505 S. Cortez St. Prescott AZ 86303 |
| Mailing Address |
3343 N. Windsong Dr. Prescott Valley AZ 86314-2283 |
| Practice Telephone | 9284455211 |
| Practice Fax Number | 9287768484 |
| Mailing Telephone | 9284455211 |
| Mailing Fax Number | 9287768484 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-12760 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
505 S. CORTEZ ST. |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| 1730330986 | Sulltrop Family Chiropractic PC | Chiropractor | 409 W Goodwin St, Prescott, AZ 86303 | 2008-10-07 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670650 | Joseph Mccaffrey | Counselor | 4739 S Ponderosa Park Rd, Prescott, AZ 86303-6146 | 2020-08-19 |
| 1689212821 | Lori Ann Kidd | Counselor | 246 S Cortez St, Prescott, AZ 86303-3939 | 2019-12-18 |
| 1710450879 | Nancy Lynn Gerlach | Counselor | 155 Partridge Ln, Prescott, AZ 86303-5330 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1699269993 | David Allen Sahady | Counselor | 1000 Willow Creek Rd Ste G, Prescott, AZ 86301-1645 | 2018-06-19 |
| 1013400183 | Colleen M Tretton | Counselor | 2850 W Granite Oaks Dr, Prescott, AZ 86305-4732 | 2018-06-12 |
| 1275042715 | Cheryl Lyn Congrove | Counselor | 1453 W Libby Loop Rd, Prescott, AZ 86303-6153 | 2017-09-27 |
| 1538682364 | Matthew Miller | Counselor | 3700 Willow Creek Rd Bldg 73, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1710412382 | Marie Tueller | Counselor | 819 W Gurley St, Prescott, AZ 86305-3613 | 2017-04-20 |
| 1740733971 | Kimberly Campbell | Counselor | 141 S Mccormick St Ste 111, Prescott, AZ 86303-4730 | 2016-07-23 |
| Find all providers in PRESCOTT | ||||
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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.