ANDREA KIM AUSTIN (NPI# 1740476662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476662 |
| Entity Type | Individual |
| Full Name | ANDREA KIM AUSTIN |
| Other Name | ANDREA KIM DAVIS |
| Practice Address |
12712 Heacock St. Suite 6 Moreno Valley CA 92551-3037 |
| Mailing Address |
12712 Heacock St Gateway Counseling Servies, Suite 6 Moreno Valley CA 92551-3037 |
| Practice Telephone | 9512435576 |
| Practice Fax Number | 8668966067 |
| Mailing Telephone | 9512435576 |
| Mailing Fax Number | 8668966067 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2008-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699651 | Andrea E Austin | Social Worker | 10310 Lark Rdg, Houston, TX 77070-4872 | 2019-09-29 |
| 1407455041 | Andrea Austin | Pharmacy | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2020-10-24 |
| 1538614359 | Andrea Jo Austin | Psychologist | 1801 Schneider St Ne, Canton, OH 44721-3349 | 2016-08-22 |
| 1811289093 | Andrea Leigh Austin | Emergency Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-05-06 |
| 1730311507 | Andrea Hui Austin | Dermatology | 2299 Post St, Suite 312, San Francisco, CA 94115-3441 | 2009-08-12 |
| Street Address |
12712 HEACOCK ST. SUITE 6 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92551-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735549 | Geraldine Reed-lewis | Technician | 24805 Quenada Dr., Moreno Valley, CA 92551 | 2019-08-16 |
| 1003330176 | Xochitl Estrada Marroquin | Behavioral Analyst | 24458 Liolios Way, Moreno Valley, CA 92551 | 2017-07-31 |
| 1124407291 | Lynelle Chapman | Marriage & Family Therapist | 16339 Silverbirch Rd, Morenovalley, CA 92551 | 2015-05-22 |
| 1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
| 1407945306 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15025 Perris Blvd, Moreno Valley, CA 92551 | 2006-10-11 |
| 1033487327 | Red Maple Mtu | Public Health or Welfare | 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 | 2011-12-01 |
| 1780910984 | Michael Robert Thomas | Physical Therapy Assistant | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2009-10-22 |
| 1386190866 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 | 2016-08-25 |
| 1316292741 | Beautiful Skin Essentials Inc | Registered Nurse | 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 | 2012-07-23 |
| 1265754055 | Reza Farahanchi | Acupuncturist | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2010-02-19 |
| Find all providers in zip 92551 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276448 | Doneisha Jenkins | Marriage & Family Therapist | 22925 Bay Ave Apt 220, Moreno Valley, CA 92553-8627 | 2020-08-20 |
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1184271298 | Social Resources Connection Inc | Marriage & Family Therapist | 23945 Sunnymead Blvd Ste 2, Moreno Valley, CA 92553-3025 | 2019-08-22 |
| 1851959373 | Martin Louis Carey | Marriage & Family Therapist | 23311 Dracaea Ave, Moreno Valley, CA 92553-3201 | 2019-05-30 |
| 1619494648 | Ashley Denise Stacy | Marriage & Family Therapist | 14221 Montego Bay Dr, Moreno Valley, CA 92553-2924 | 2017-08-30 |
| 1306363817 | Christopher Rios Berrios | Marriage & Family Therapist | 13626 Red Mahogany Dr, Moreno Valley, CA 92553-6506 | 2017-08-25 |
| 1841723525 | Danisa Lemus | Marriage & Family Therapist | 22445 Alessandro Blvd, Moreno Valley, CA 92553-8358 | 2017-04-10 |
| 1932654027 | Dori Harrell | Marriage & Family Therapist | 21250 Box Springs Rd Ste 104, Moreno Valley, CA 92557-8707 | 2016-08-18 |
| 1629425053 | Jacqueline Miranda | Marriage & Family Therapist | 21250 Box Springs Rd Ste 212, Moreno Valley, CA 92557-8712 | 2016-05-16 |
| 1235584350 | Belinda Spears-gipson | Marriage & Family Therapist | 27727 Via De La Real, Moreno Valley, CA 92555-5803 | 2016-04-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92551 |
Please comment or provide details below to improve the information on ANDREA KIM AUSTIN.
| 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.