KIMBERLEY CLAYTON BLAINE (NPI# 1467067363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467067363 |
| Entity Type | Individual |
| Full Name | KIMBERLEY CLAYTON BLAINE |
| Credential | LMFT |
| Practice Address |
1443 E Washington Blvd Ste 185 Pasadena CA 91104-2650 |
| Practice Telephone | 3104970088 |
| Mailing Telephone | 3104970088 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMFT34946 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1443 E WASHINGTON BLVD STE 185 |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079299 | Jessica Jeffers | Counselor | 649 209th St, Pasadena, MD 21122-1427 | 2020-10-06 |
| 1407453350 | Jessie Ann Crabtree | Counselor | 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-10-05 |
| 1235745118 | Richard S Richardson | Counselor | 146 Harkness Ave, Pasadena, CA 91106-2007 | 2020-09-16 |
| 1679185409 | Rodriguez Counseling | Counselor | 2106 Buchanan St, Pasadena, TX 77502-3927 | 2020-08-22 |
| 1992317796 | Carole M Lewis | Counselor | 515 Bonita Ave, Pasadena, CA 91107-5142 | 2020-08-21 |
| 1124637129 | Madeline Myers | Counselor | 3100f Mountain Rd., Pasadena, MD 21122-2018 | 2020-07-26 |
| 1366003279 | John Sovec | Counselor | 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 | 2019-06-23 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1215404868 | Jesus Montelongo-cortez | Counselor | 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 | 2018-10-31 |
| 1407330715 | Treasure Gutierrez | Counselor | 2650 E Foothill Blvd # 119, Pasadena, CA 91107-3439 | 2018-09-21 |
| Find all providers in PASADENA | ||||
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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.