KIM ANN NEELY (NPI# 1497386585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497386585 |
| Entity Type | Individual |
| Full Name | KIM ANN NEELY |
| Credential | LMSW |
| Practice Address |
1720 18th Ave Lewiston ID 83501-4047 |
| Practice Telephone | 2087464097 |
| Practice Fax Number | 2087462294 |
| Mailing Telephone | 2087464097 |
| Mailing Fax Number | 2087462294 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
29893 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LMSW LICENSE | 29893 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912084013 | Kim Kerry Neely | Physician Assistant | 3627 Beatties Ford Rd, Charlotte, NC 28216-3249 | 2006-11-01 |
| 1063509735 | Kim Neely | Technician/Technologist | 5 Kennedy Dr, Putnam, CT 06260-1939 | 2006-10-06 |
| Street Address |
1720 18TH AVE |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871651422 | Phil Waggoner | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2006-12-05 |
| 1740806330 | Brianna Nelson | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-06-19 |
| 1326671454 | Leanne Parker | Psychologist | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-02-17 |
| 1366827255 | Riverside Recovery LLC | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2015-07-21 |
| 1093155566 | Sara Light Bennett | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2013-06-28 |
| 1750403994 | Leslee Lynn Whiteman | Counselor | 1720 18th Ave, Lewiston, ID 83501-4047 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689200453 | Elise M Staab | Counselor | 301 Main St Ste 204, Lewiston, ID 83501-1819 | 2020-03-12 |
| 1134774680 | Kelley Kids Ranch, LLC | Counselor | 602 13th St, Lewiston, ID 83501-2586 | 2019-08-01 |
| 1295394229 | Reliable Services of Maine, LLC | Counselor | 256 Bartlett St, Lewiston, ME 04240-6501 | 2019-06-12 |
| 1124592365 | Crystal Ann Nystrom | Counselor | 2335 Main St, Lewiston, ID 83501-3242 | 2019-01-21 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1720400294 | Sequel Alliance Family Services, LLC | Counselor | 141 9th St Ste 1, Lewiston, ID 83501-2136 | 2014-01-17 |
| 1760804900 | Traci H Kent | Counselor | 79 N Main, Lewiston, UT 84320 | 2014-01-07 |
| 1528323318 | Margaret Mchenry Evans | Counselor | 15a Westminster St, Lewiston, ME 04240-3531 | 2012-07-09 |
| 1952676900 | Elizabeth Lee Hess-almubarak | Counselor | 538 Karin Ave, Lewiston, ID 83501-3866 | 2012-03-08 |
| 1972746519 | Kindra Hibbard | Counselor | 312 Miller St, Lewiston, ID 83501-1944 | 2009-04-13 |
| Find all providers in LEWISTON | ||||
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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.