MIMI M KENNEDY-ROSS (NPI# 1760927412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760927412 |
| Entity Type | Individual |
| Full Name | MIMI M KENNEDY-ROSS |
| Credential | LPC |
| Practice Address |
Dodge & Mt Lemmon Rd Oracle AZ 85623 |
| Practice Telephone | 5208969240 |
| Mailing Telephone | 5208969240 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-16413 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
DODGE & MT LEMMON RD |
| City | ORACLE |
| State | AZ |
| Zip Code | 85623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158167 | Jocelyn Alyssa Rechichar Muzzin | Social Worker | 980 E Mt. Lemmon Rd, Oracle, AZ 85623 | 2010-07-09 |
| 1447375993 | Janet S Patton-martinez | Counselor | 980 E. Mt. Lemmon Road, Oracle, AZ 85623 | 2007-03-20 |
| 1033247788 | Oracle Elementary School District | Local Education Agency (LEA) | 725 N Carpenter, Oracle, AZ 85623 | 2007-03-02 |
| 1619002920 | Sarah L Daffron | Counselor | 980 E. Mt Lemmon Road, Oracle, AZ 85623 | 2007-02-23 |
| 1912047507 | Helen E Nack | Counselor | 980 E Mt Lemon Road, Oracle, AZ 85623 | 2007-02-06 |
| 1699833624 | Philip Nice | Counselor | 980 E. Mt. Lemon Road, Oracle, AZ 85623 | 2006-12-04 |
| 1134291065 | William Bunch | Dentist | 710 East Am Ave, Oracle, AZ 85623 | 2006-11-15 |
| 1659458750 | Horizon Health & Wellness, Inc. | Community/Behavioral Health | 980 E Mt Lemmon Road, Oracle, AZ 85623 | 2006-11-01 |
| 1174523252 | Karen Dee Lombardi | Social Worker | 381 East American Ave, Oracle, AZ 85623 | 2005-07-29 |
| 1710366737 | Horizon Health and Wellness, Inc. | Clinic/Center | 980 E. Mt. Lemmon Road, Oracle, AZ 85623 | 2015-05-22 |
| Find all providers in zip 85623 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619002920 | Sarah L Daffron | Counselor | 980 E. Mt Lemmon Road, Oracle, AZ 85623 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.