KC SERVICES (NPI# 1609249267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609249267 |
| Entity Type | Organization |
| Organization Name | KC SERVICES |
| Practice Address |
1060 S Brookhurst Rd Fullerton CA 92833-3709 |
| Mailing Address |
451 W Lincoln Ave Ste 100 Anaheim CA 92805-2912 |
| Practice Telephone | 7144491339 |
| Practice Fax Number | 7144491289 |
| Mailing Telephone | 7145276561 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MRS. ANNA KEIDERLING (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7145276361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 112371 | CA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KC SERVICES | 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 |
| Colorado Business Entities | KC SERVICES | 19415 Oneida Ct, Apple Valley, CA 92307 |
| New York State Corporations | KC SERVICES GROUP, INC. | 24 Ludlam Ave, Bayville, Ny 11709 |
| Colorado Business Entities | KC Services LLC | 5716 Crawford Gulch Rd., Golden, CO 80403 |
| Washington State Corporations | KC SERVICES, INC. | 6402 S 196th St, Kent, WA 98032 |
| Street Address |
1060 S BROOKHURST RD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184716581 | Korean Community Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-09-30 |
| 1508474826 | Vanessa Valdivia | Marriage & Family Therapist | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2020-07-22 |
| 1568086486 | Michele Marie Marcinkevicz | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2020-06-05 |
| 1295240463 | Rene Osorio Santiago | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2017-12-08 |
| 1326389206 | James P Dublino | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2013-03-02 |
| 1134380348 | Tito Toreno Sanchez | Social Worker | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2008-06-19 |
| 1558545848 | Leslie Allyson Mitchell | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2007-12-21 |
| 1952513756 | Raelee Elba Hood | Marriage & Family Therapist | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2007-05-04 |
| 1437233889 | Judy S. Tompkins | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-10-24 |
| 1417039579 | James Otis Ray | Counselor | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417425604 | Sagebrush LLC | Community/Behavioral Health | 1349 Avolencia Dr, Fullerton, CA 92835-3702 | 2018-11-06 |
| 1326480542 | Sage Behavior Services | Community/Behavioral Health | 1435 N Harbor Blvd, 124, Fullerton, CA 92835-4105 | 2013-07-30 |
| 1477894632 | Jr Estrella | Community/Behavioral Health | 801 S Harbor Blvd, Fullerton, CA 92832-3022 | 2013-03-12 |
| 1871737056 | Alta Institute, Inc. | Community/Behavioral Health | 524 W.. Commonwealth Avenue, Suite K, Fullerton, CA 92832-1764 | 2009-05-01 |
| 1184716581 | Korean Community Services | Community/Behavioral Health | 1060 S Brookhurst Rd, Fullerton, CA 92833-3709 | 2006-09-30 |
| 1255996880 | Brave Relationships Family Therapy and Professional Consulting | Community/Behavioral Health | 1440 N Harbor Blvd Ste 900, Fullerton, CA 92835-4122 | 2019-05-09 |
| 1972045409 | Yasamin Farhad, Lmft | Community/Behavioral Health | 2601 E Chapman Ave Ste 102, Fullerton, CA 92831-3737 | 2016-11-15 |
| 1649712258 | Autism Spectrum Interventions | Community/Behavioral Health | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2016-11-14 |
| 1861886418 | Omid Multicultural Institute for Development | Community/Behavioral Health | 2601 E Chapman Ave, Suite 116, Fullerton, CA 92831-3737 | 2015-03-21 |
| 1396135208 | Andrade Family Therapy | Community/Behavioral Health | 305 N Harbor Blvd, Suite 215, Fullerton, CA 92832-1990 | 2015-01-29 |
| Find all providers in FULLERTON | ||||
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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.