DEBRA KIMBROUGH (NPI# 1689831018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689831018 |
| Entity Type | Individual |
| Full Name | DEBRA KIMBROUGH |
| Practice Address |
13 N Hartford Ave Atlantic City NJ 08401-3512 |
| Mailing Address |
6550 Delilah Rd Ste 301 Egg Harbor Township NJ 08234-5102 |
| Practice Telephone | 6092728580 |
| Practice Fax Number | 6096457343 |
| Mailing Telephone | 6092728580 |
| Mailing Fax Number | 6096457343 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2015-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
13 N HARTFORD AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447276043 | Maria Teresa S Daclan | Psychiatry & Neurology | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2006-07-15 |
| 1013549211 | Elena Tominus | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2020-02-06 |
| 1285271890 | Vicotria Mack Sutton | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2019-12-02 |
| 1962049676 | Melenis Velez | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2019-12-02 |
| 1689210809 | Tina Baez | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2019-11-22 |
| 1528604030 | Caroline Feinberg | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2019-11-19 |
| 1679059125 | Jennifer M Jobes | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2018-07-18 |
| 1326541251 | Dilys Andinwo Ngu | Psychiatry & Neurology | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2018-03-16 |
| 1558862359 | Scott Phillips | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2018-02-27 |
| 1720593700 | Brian Nguyen | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| 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 |
|---|---|---|---|---|
| 1013549211 | Elena Tominus | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2020-02-06 |
| 1285271890 | Vicotria Mack Sutton | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2019-12-02 |
| 1740671569 | Lori Dobson Mulhern | Counselor | 1601 Atlantic Ave, Atlantic City, NJ 08401-6928 | 2015-02-16 |
| 1467843540 | Lisa Celebre | Counselor | 13 N Hartford Ave, Atlantic City, NJ 08401-3512 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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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.