KEVIN MAXWELL (NPI# 1477766376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477766376 |
| Entity Type | Individual |
| Full Name | KEVIN MAXWELL |
| Credential | LPT |
| Practice Address |
2178 Johnson Ave San Luis Obispo CA 93401-4535 |
| Mailing Address |
2178 Johnson Avenue San Luis Obispo CA 93401 |
| Practice Telephone | 8057814741 |
| Practice Fax Number | 8057811232 |
| Mailing Telephone | 8057814741 |
| Mailing Fax Number | 8057811232 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PT30081 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659396323 | Kevin S Maxwell | Family Medicine | 10831 Combie Rd, Suite D, Auburn, CA 95602-8953 | 2006-07-13 |
| 1184044190 | Kevin Maxwell | Radiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2014-04-17 |
| 1821384371 | Kevin John Maxwell | Nurse Practitioner | 6973 Linda Vista Rd, San Diego, CA 92111-6342 | 2011-06-23 |
| 1346536935 | Kevin Maxwell | Behavioral Analyst | 17501 Biscayne Blvd, Suite 500, Aventura, FL 33160-4802 | 2011-06-22 |
| 1003071952 | Kevin J Maxwell | Physician Assistant | 1111 N Lee Ave Ste 105, Oklahoma City, OK 73103-2620 | 2008-07-21 |
| 1639346935 | Kevin Hans Maxwell | Art Therapist | 920 48th St, Brooklyn, NY 11219-2918 | 2008-05-15 |
| 1134315021 | Kevin Patrick Maxwell | Counselor | 2933 El Nido Dr, Altadena, CA 91001-4529 | 2007-09-24 |
| Street Address |
2178 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919263 | Jeffrey Bruce Elliott | Psychologist | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2005-08-16 |
| 1548860745 | Colleen Noel Margalit | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-27 |
| 1245839133 | Eliruth Ortiz | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-10-21 |
| 1578181996 | Lynnette Warren | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-13 |
| 1184242869 | Kevin Nitzel | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-09 |
| 1053935718 | Sharon Beryl Maslow | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1093338196 | Karen Jennifer Greene | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-22 |
| 1902434053 | Mehta Halstead | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-04-01 |
| 1447884010 | Casey Lynn Kay | Licensed Vocational Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1134615966 | Alyssa Carmina Schutzman | Counselor | 1255 Kendall Rd., San Luis Obispo, CA 93401-9340 | 2018-07-04 |
| 1245725803 | Sarah Minh Christman | Counselor | 540 South St Apt B, San Luis Obispo, CA 93401-5106 | 2018-06-26 |
| 1538668652 | Barton Bodrian | Counselor | 670 Hill St, San Luis Obispo, CA 93405-2373 | 2018-02-04 |
| 1164941738 | Bridget Schinnerer | Counselor | 381 Pismo St, San Luis Obispo, CA 93401-3828 | 2017-09-14 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1134587454 | Taylor Barnett | Counselor | 668 Johnson Ave, San Luis Obispo, CA 93401-2408 | 2016-02-01 |
| 1699131623 | Daniel Keller | Counselor | 785 High St, San Luis Obispo, CA 93401-5235 | 2016-01-06 |
| 1700241874 | Linda Hainline | Counselor | 3000 Augusta St, #129, San Luis Obispo, CA 93401-5859 | 2015-12-16 |
| 1942693858 | Amber Kae Scangarello | Counselor | 125 Kendall Rd, San Luis Obispo, CA 93401 | 2015-03-17 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on KEVIN MAXWELL.
| 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.