KIMBERLY RAE BERGLUND (NPI# 1467929299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467929299 |
| Entity Type | Individual |
| Full Name | KIMBERLY RAE BERGLUND |
| Credential | ACSW 83111 |
| Practice Address |
299 12th St Ste A Marina CA 93933-6003 |
| Practice Telephone | 8318333030 |
| Mailing Telephone | 8318333030 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
83111 | CA | Behavioral Health & Social Service Providers |
| Street Address |
299 12TH ST STE A |
| City | MARINA |
| State | CA |
| Zip Code | 93933-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013307 | Emily Villanueva Lealao | Case Manager/Care Coordinator | 299 12th St Ste A, Monterey County Behavioral Health, Marina, CA 93933-6003 | 2007-01-29 |
| 1730674078 | Rosa Jones | Counselor | 299 12th St Ste A, Marina, CA 93933 | 2018-06-28 |
| 1154845360 | Bradley Warren Carson | Counselor | 299 12th St Ste A, Marina, CA 93933-6003 | 2017-07-29 |
| 1437523735 | Monterey County Behavioral Health | Clinic/Center | 299 12th St Ste A, Marina, CA 93933-6003 | 2015-11-24 |
| 1669848974 | Hugo Garcia | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2015-08-20 |
| 1912322967 | Claudia Padilla | Psychologist | 299 12th St Ste A, Marina, CA 93933-6003 | 2014-02-27 |
| 1295159119 | Michelle Thomas | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2014-02-12 |
| 1255766515 | Kathleen Keilman | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2013-09-05 |
| 1518390566 | Mary Huxster | Social Worker | 299 12th St Ste A, Marina, CA 93933 | 2013-08-13 |
| 1982046397 | Laura Jean Carroll | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2013-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018081 | Dennica Marie Domingo Paguio | Counselor | 3039 Marina Dr Unit 15, Marina, CA 93933-2955 | 2019-11-20 |
| 1194217141 | Maria Martinez-navarro | Counselor | 3016 Lexington Ct, Marina, CA 93933-4735 | 2018-06-05 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1063870343 | Jennifer Edwards | Counselor | 3104 Bayer St, Apartment 13, Marina, CA 93933-3403 | 2016-02-02 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| 1366059685 | Cynthia Merrie Lopez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-09-30 |
| 1528682820 | Ian Olden | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-06-02 |
| 1346875457 | Andrew Louis Cole Candreva | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-09 |
| 1407481872 | Matthew D Ferry | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-06 |
| Find all providers in MARINA | ||||
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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.