KATHERINE BRYDGES LEROY (NPI# 1649801010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649801010 |
| Entity Type | Individual |
| Full Name | KATHERINE BRYDGES LEROY |
| Credential | LMFT |
| Practice Address |
6 Petaluma Blvd N Petaluma CA 94952-3050 |
| Mailing Address |
794 Ferguson Rd Sebastopol CA 95472-9683 |
| Practice Telephone | 7072003753 |
| Mailing Telephone | 4159489862 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
89889 | CA | Behavioral Health & Social Service Providers |
| Street Address |
6 PETALUMA BLVD N |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225164585 | Kathleen Mccormick | Social Worker | 6 Petaluma Blvd N, Suite B4, Petaluma, CA 94952-3050 | 2007-02-23 |
| 1518521988 | Mary Dunnigan | Marriage & Family Therapist | 6 Petaluma Blvd N, Petaluma, CA 94952-3050 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596737 | Counseling Connections LLC | Counselor | 1301 Redwood Way Ste 223, Petaluma, CA 94954-1136 | 2020-10-21 |
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1124544275 | Susan Marie Kokke | Counselor | 405 East D Street, Suite 109, Petaluma, CA 94952-3173 | 2017-08-21 |
| 1851830293 | Douglas Lerch | Counselor | 7 4th St Ste 46, Petaluma, CA 94952-7402 | 2017-02-17 |
| 1174074702 | Chela Fielding | Counselor | 1016 Mcnear Ave, Petaluma, CA 94952-5215 | 2016-10-19 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083961932 | Susie Michelle King | Counselor | 1150 N Mcdowell Blvd, #751600, Petaluma, CA 94975-8800 | 2012-08-09 |
| 1093948481 | Catherine Suzanne Fleck | Counselor | 417 Sheldon Avenue, Petaluma, CA 94952 | 2009-09-01 |
| 1679600506 | Christel F Lukoff | Counselor | 1035 B St, Petaluma, CA 94952-4026 | 2007-02-27 |
| 1750426482 | Susan Gilley Zalkaske | Counselor | 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952-5546 | 2007-02-20 |
| Find all providers in PETALUMA | ||||
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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.