KIMBERLY CARROLL


Address: 4020 Civic Center Dr, San Rafael, CA 94903-4173
Phone: 4154912348

KIMBERLY CARROLL (NPI# 1689035750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689035750
Entity Type Individual
Full Name KIMBERLY CARROLL
Practice Address 4020 Civic Center Dr
San Rafael
CA 94903-4173
Practice Telephone 4154912348
Mailing Telephone 4154912348
Enumeration Date 2016-03-16
Last Update Date 2016-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers KIMBERLY CARROLL

NPI Name Taxonomy Address Enumeration
1407181191 Kimberly M Carroll Physical Therapist 961687 Gateway Blvd Ste 101a, Fernandina Beach, FL 32034-9158 2009-10-13
1801033287 Kimberly Louise Carroll Pharmacist 3921 Garrett Springs Dr, Powder Springs, GA 30127-3556 2009-01-07
1679655211 Kimberly A Carroll Speech-Language Pathologist 5 Flintlock Rd, Salem, NH 03079-3266 2006-10-20
1649270869 Kimberly Carroll Obstetrics & Gynecology 809 Cleveland Ave Sw, Atlanta, GA 30315-7108 2005-07-29
1609496058 Kimberly Ann Carroll Physician Assistant 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 2020-04-25
1225532062 Kimberly Dawn Carroll Counselor 220 Clay Dr, Pounding Mill, VA 24637-4320 2018-03-19
1225589765 Kimberly Carroll Counselor 516 Beltrami Ave Nw, Bemidji, MN 56601-3010 2016-10-19
1104375567 Kimberly Carroll Social Worker 610 S Burdick St, Kalamazoo, MI 49007-5221 2016-09-27
1144619347 Kimberly Carroll Occupational Therapist 350 Old Gilkeson Rd, Pittsburgh, PA 15228-1063 2015-01-12
1659704260 Kimberly Carroll Social Worker 421 Fallsway, Baltimore, MD 21202-4800 2013-08-19

Office Location

Street Address 4020 CIVIC CENTER DR
City SAN RAFAEL
State CA
Zip Code 94903-4173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902910342 Gail Mosconi Social Worker 4020 Civic Center Dr, San Rafael, CA 94903-4173 2006-08-19
1770120107 Amy Bower Counselor 4020 Civic Center Dr, San Rafael, CA 94903-4173 2019-12-04
1205306750 Kathleen Marie Moran Counselor 4020 Civic Center Dr, San Rafael, CA 94903-4173 2018-11-27
1871016931 Keyanna Rene Learson Rehabilitation Practitioner 4020 Civic Center Dr, San Rafael, CA 94903-4173 2017-07-20
1972026425 Deborah Ruth Berenboim Rehabilitation Practitioner 4020 Civic Center Dr, San Rafael, CA 94903 2017-07-17
1568911816 Dana Perez Rehabilitation Practitioner 4020 Civic Center Dr, San Rafael, CA 94903-4173 2016-09-28
1629439708 Samantha Guzowski Counselor 4020 Civic Center Dr, San Rafael, CA 94903-4173 2016-03-16
1588024608 Aaron Magee Counselor 4020 Civic Center Dr, San Rafael, CA 94903-4173 2016-03-02
1497115034 Jennifer Andrade Counselor 4020 Civic Center Dr, San Rafael, CA 94903-4173 2016-02-24
1124484712 Ernest Guomas Marriage & Family Therapist 4020 Civic Center Dr, San Rafael, CA 94903-4173 2016-01-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
Find all providers in zip 94903

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1548789464 Michael Robins Counselor 1401 Los Gamos Dr # 204, San Rafael, CA 94903-1809 2017-09-12
1912431271 Community Action Marin Counselor 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 2017-04-13
1871047597 Joseph Dela Vega Counselor 361 3rd St Ste B, San Rafael, CA 94901-3580 2016-08-10
1588117808 Jessica Noelle Panoski Counselor 1403 Los Gamos, San Rafael, CA 95403 2016-08-03
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1194149260 Kathryn Harrison Solana Counselor 3100 Kerner Blvd Ste C1, San Rafael, CA 94901-5445 2014-02-10
1588904403 Jose Alfredo Escobar Counselor 1 St. Vincent Drive, San Rafael, CA 94903 2013-03-01
1508126939 Amit Singh Counselor 7 Le Claire Ct, San Rafael, CA 94903-3526 2012-05-18
1316211311 Denia C Briggs Counselor 1 Saint Vincents Drive, San Rafael, CA 94903-1504 2012-03-08
Find all providers in SAN RAFAEL

Competitor

Search similar providers

City SAN RAFAEL
Zip Code 94903

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Dataset Information

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.

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