KYLE LEAICH (NPI# 1578003398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578003398 |
| Entity Type | Individual |
| Full Name | KYLE LEAICH |
| Practice Address |
102 W Main St San Jacinto CA 92583-4121 |
| Mailing Address |
Po Box 3868 Hemet CA 92546-3868 |
| Practice Telephone | 9516634820 |
| Mailing Telephone | 9516634820 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
102 W MAIN ST |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813026 | Laura Noonan Cavins | Peer Specialist | 102 W Main St, San Jacinto, CA 92583-4121 | 2018-12-19 |
| 1619465127 | Deidre Ashley Barriger | Peer Specialist | 102 W Main St, San Jacinto, CA 92583-4121 | 2018-04-30 |
| 1023535606 | Carmen Porche | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-08-24 |
| 1992232771 | Telecare Corporation | Clinic/Center | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-05-11 |
| 1508390790 | Karla Ruiz Miranda | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-04-14 |
| 1922539733 | Pandit Mcfarland | Licensed Vocational Nurse | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-03-23 |
| 1881131779 | Thomas Marino | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-01-30 |
| 1689118234 | Shawn Harper | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-12-15 |
| 1053854687 | Kenneth Stevens | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-11-30 |
| 1124575196 | Joycelynn Mariah Jones | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508370537 | Ariel Pope | Counselor | 1774 Verbena Ct, San Jacinto, CA 92583-2350 | 2017-11-29 |
| 1053618702 | Corey Macedon | Counselor | 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583-5060 | 2011-02-15 |
| 1518131176 | Benjamin Martin Tedeschi | Counselor | 950 N Ramona Blvd Ste 5, San Jacinto, CA 92582-2571 | 2008-04-15 |
| 1275734915 | Linda Christine Moya | Counselor | 950 Ramona Blvd, Ste 2, San Jacinto, CA 92582 | 2007-05-30 |
| 1508390790 | Karla Ruiz Miranda | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-04-14 |
| 1881131779 | Thomas Marino | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2017-01-30 |
| 1992180145 | Wendy Smith | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2015-07-29 |
| 1851782908 | Sonny Blakley I | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2015-02-11 |
| 1578951802 | Jeffrey Martin | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2015-01-09 |
| 1386032639 | Christi Suits | Counselor | 102 W Main St, San Jacinto, CA 92583-4121 | 2015-01-08 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
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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.