MS. KIMBERLY GRACE (NPI# 1760686307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760686307 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY GRACE |
| Practice Address |
948 11th St Suite 20 Modesto CA 95354-2308 |
| Practice Telephone | 2095791151 |
| Practice Fax Number | 2095799605 |
| Mailing Telephone | 2095791151 |
| Mailing Fax Number | 2095799605 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADDICTION COUNSELOR | 101YA040OX | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437435625 | Kimberly Bailey Grace | Technician, Other | 41521 W. Mile Rd, Novi, MI 48375 | 2011-11-01 |
| Street Address |
948 11TH ST SUITE 20 |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789026 | Kenneth William Davis | Marriage & Family Therapist | 948 11th St, Suite 11 H, Modesto, CA 95354-2308 | 2006-07-27 |
| 1770616088 | Stanislaus County | Community/Behavioral Health | 948 11th St, Modesto, CA 95354-2308 | 2007-03-14 |
| 1942286240 | Nirvana Drug & Alcohol Treatment Institute | Clinic/Center | 948 11th St, Suite 23, Modesto, CA 95354-2308 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055812 | Diana Harrison | Counselor | 1235 Mchenry Ave # A&b, Modesto, CA 95350-5370 | 2019-10-24 |
| 1710468095 | Dominic Maurice Casaca | Counselor | 616 Perfidia Ave, Modesto, CA 95351-4135 | 2018-08-24 |
| 1659867513 | Amalia Tapia | Counselor | 1235 Mchenry Ave Unit A&b, Modesto, CA 95350-5370 | 2018-07-03 |
| 1265934301 | Ben Hopp | Counselor | 123 Mchenry Ave, Modesto, CA 95354-0541 | 2018-03-05 |
| 1447772488 | Selenee Marie Flores | Counselor | 1235 Mchenry Ave # Ab, Modesto, CA 95350-5370 | 2017-07-12 |
| 1801325477 | Holly Elizabeth Moore | Counselor | 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 | 2017-06-07 |
| 1942737507 | Gloria Edith Robles | Counselor | 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 | 2017-05-15 |
| 1184088668 | Michelle Lucas | Counselor | 1421 Mosswood Ln, Modesto, CA 95355-1555 | 2016-04-11 |
| 1407229248 | Roy Douglas | Counselor | 1235 Mcherney, A and B, Modesto, CA 95350-9411 | 2015-11-02 |
| 1639541394 | Dynese Lee Addotta | Counselor | 1520 Goldenwood Dr, Modesto, CA 95350-3865 | 2015-10-21 |
| Find all providers in MODESTO | ||||
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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.