FROOGH A VAKILI KHATIBLOO (NPI# 1609077056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609077056 |
| Entity Type | Individual |
| Full Name | FROOGH A VAKILI KHATIBLOO |
| Credential | MS, LPCC |
| Practice Address |
28 E Rahn Rd Suite 105 Kettering OH 45429-5461 |
| Mailing Address |
3821 Little York Rd Dayton OH 45414-2409 |
| Practice Telephone | 9374540092 |
| Practice Fax Number | 9372641101 |
| Mailing Telephone | 9374540092 |
| Mailing Fax Number | 9372641101 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E0500079 | OH | Behavioral Health & Social Service Providers |
| Street Address |
28 E RAHN RD SUITE 105 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-5461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581043 | Debra K Sowald | Counselor | 28 E Rahn Rd, Ste 105, Kettering, OH 45429-5461 | 2005-07-12 |
| 1780937862 | Larry Welin | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2012-10-26 |
| 1568798031 | Constance Clarke | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2009-10-19 |
| 1245350552 | Midwest Behavioral Care | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2007-03-30 |
| 1063431443 | Fred Allen | Counselor | 28 E Rahn Rd, Sutie 105, Kettering, OH 45429-5461 | 2006-07-18 |
| 1376518506 | Phyllis Kuehnl Walters | Psychologist | 28 E Rahn Rd, Suite 207, Kettering, OH 45429-5461 | 2006-02-21 |
| 1407834765 | Heidi S Spiegel (ferstl) | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2006-01-06 |
| 1548248701 | Susan M Iwinski | Counselor | 28 E Rahn Rd, Suite 105, Kettering, OH 45429-5461 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660287 | Angela Maria Kaskocsak | Counselor | 1216 Cloverfield Ave Apt C, Kettering, OH 45429-4559 | 2018-02-27 |
| 1659730133 | Hawthorne Integrative | Counselor | 5450 Far Hills Ave Ste 222, Kettering, OH 45429-2386 | 2016-02-12 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1043511975 | Clearing Path's Therapeutic Services, Ltd | Counselor | 3440 Office Park Dr, Kettering, OH 45439-2214 | 2010-11-09 |
| 1780857466 | Glenna Darnell Baughman | Counselor | 1926 Malcom Dr, Kettering, OH 45420-3626 | 2008-04-02 |
| 1457452278 | Roger Fortman | Counselor | 1948 E Whipp Rd, Suite A-1, Kettering, OH 45440-4240 | 2006-09-26 |
| 1629547740 | Alexandra Sillato | Counselor | 529 E Stroop Rd, Kettering, OH 45429-3245 | 2018-11-19 |
| 1215449822 | Kory Lee Johnson | Counselor | 529 E Stroop Rd, Kettering, OH 45429-3245 | 2017-11-05 |
| 1962926303 | Joanne Mannarelli | Counselor | 1349 E Stroop Rd, Kettering, OH 45429-4925 | 2017-07-27 |
| 1083137657 | Andrew Brown | Counselor | 1349 E Stroop Rd, Kettering, OH 45429-4925 | 2017-07-25 |
| Find all providers in KETTERING | ||||
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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.