KELLY PARKER (NPI# 1528592599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528592599 |
| Entity Type | Individual |
| Full Name | KELLY PARKER |
| Credential | LMFT |
| Practice Address |
1260 Morena Blvd Ste 100 San Diego CA 92110-3850 |
| Mailing Address |
995 Gateway Center Way Ste 300 San Diego CA 92102-4550 |
| Practice Telephone | 6193980355 |
| Mailing Telephone | 3035528463 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 120200 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF89871 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 995 Gateway Center Way Ste 300, San Diego, CA 921024550 | 3035528463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949246 | Kelly Jean Parker | Registered Nurse | 15630 Sausalito Cir, Clermont, FL 34711-9668 | 2020-07-06 |
| 1235676834 | Kelly Parker | Counselor | 9494 Humble Westfield Rd Apt 2832, Humble, TX 77338-5293 | 2017-01-21 |
| 1265093835 | Kelly Parker | Peer Specialist | 941 Sherman St, Akron, OH 44311-2467 | 2019-06-25 |
| 1467925834 | Kelly Landicho Parker | Nurse Practitioner | 5 Tampa General Cir Ste 240, Tampa, FL 33606-3578 | 2019-01-08 |
| 1366948564 | Kelly Parker | Behavioral Analyst | 4655 Rosebud Ln, Newburgh, IN 47630 | 2018-04-05 |
| 1215476080 | Kelly Parker | Registered Nurse | 150 Pinedale Dr, Darlington, SC 29532-6013 | 2017-02-14 |
| 1629420625 | Kelly Parker | Behavioral Analyst | 1100 Alakea St, Suite 900, Honolulu, HI 96813-2833 | 2016-07-01 |
| 1043667975 | Kelly Parker | Speech-Language Pathologist | 730 Peppard Ave, Cadiz, OH 43907-1067 | 2016-05-20 |
| 1609236926 | Kelly K Parker | Registered Nurse | 100 7th Ave, 111, Chardon, OH 44024 | 2016-02-29 |
| 1790182483 | Kelly Anne Parker | Counselor | 55 Mohawk St, Cohoes, NY 12047-2600 | 2014-11-25 |
| Street Address |
1260 MORENA BLVD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699857813 | Luckvin Ponsingh Manuel | Psychiatry & Neurology | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2006-10-19 |
| 1700483476 | Lucinne Kafka | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-10-06 |
| 1003422080 | Michelle Renee Zittlau-johnson | Registered Nurse | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-09-16 |
| 1780202994 | Robert Ivar Lindbloom | Peer Specialist | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-07-14 |
| 1720605538 | Dylan Clements Landon | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-06-26 |
| 1134742463 | Vivienne M Hickey | Student in an Organized Health Care Education/Training Program | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-05-20 |
| 1124653480 | Marina Spacek | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-03-06 |
| 1871126466 | John P Gallagher Jr. | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-02-21 |
| 1861031452 | Laila Wahib | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2019-12-30 |
| 1750932414 | Grace Catherine Mickle | Counselor | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1114525995 | Bethany Minick | Marriage & Family Therapist | 940 56th St, San Diego, CA 92114-1714 | 2020-10-13 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| Find all providers in SAN DIEGO | ||||
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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.