KIMBERLY D REDLICH (NPI# 1538489034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538489034 |
| Entity Type | Individual |
| Full Name | KIMBERLY D REDLICH |
| Credential | LPC |
| Practice Address |
507 S Prewitt St Nevada MO 64772-3834 |
| Practice Telephone | 4178449976 |
| Mailing Telephone | 4178449976 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2008035710 | MO | Behavioral Health & Social Service Providers |
| Street Address |
507 S PREWITT ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083006118 | Torontow Rural Mental Health Inc | Counselor | 23595 S 1525 Rd, Nevada, MO 64772-6302 | 2015-02-26 |
| 1144348913 | Debra Ann Griggs | Counselor | 1801 West Austin, Nevada, MO 64772-0251 | 2007-03-27 |
| 1699707919 | Sonja K Holsti-wells | Counselor | 200 S Alma St, Nevada, MO 64772-3945 | 2006-07-07 |
| 1679557094 | Janice Lou Williams | Counselor | 212 North Main, Nevada, MO 64772 | 2005-11-30 |
| 1831170034 | Jerry A Morris Jr. | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2005-11-07 |
| 1144831496 | Danielle Leann Rolph | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2020-08-11 |
| 1285125179 | Cynthia Graham I | Counselor | 1500 W Ashland St, Nevada, MO 64772-1710 | 2018-05-25 |
| 1134637937 | Marissa Opal Moore | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2018-01-15 |
| 1689194003 | Elizabeth Penick | Counselor | 815 S Ash St, Nevada, MO 64772-3222 | 2017-06-27 |
| 1265886972 | Brooke Malensek | Counselor | 100 S Prewitt St, Nevada, MO 64772-1760 | 2016-04-19 |
| Find all providers in NEVADA | ||||
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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.