KIMBERLY BROOKS (NPI# 1770948432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770948432 |
| Entity Type | Individual |
| Full Name | KIMBERLY BROOKS |
| Other Name | KIMBERLY UTLEY |
| Practice Address |
22471 Aspan Street 103 Lake Forest CA 92630 |
| Practice Telephone | 9494582715 |
| Mailing Telephone | 9494582715 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927291 | Kimberly Renee Mccutchen Brooks | Social Worker | 247 Brenning Rd, Murphysboro, IL 62966-5558 | 2017-12-11 |
| 1811287006 | Kimberly Brooks | Pharmacist | 263 Elkton Rd, Newark, DE 19711-4564 | 2011-04-09 |
| 1518565860 | Kimberly Brooks | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-09 |
| 1851903439 | Kimberly Brooks | Social Worker | 20 Winter St, Pembroke, MA 02359-4965 | 2020-08-17 |
| 1881246817 | Kimberly Dionne Brooks | Case Manager/Care Coordinator | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-07-10 |
| 1578070819 | Kimberly Brooks | Counselor | 7330 Fern Ave Ste 1102, Shreveport, LA 71105-4989 | 2018-01-09 |
| 1568842722 | Kimberly Brooks | Licensed Practical Nurse | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2015-06-03 |
| 1780064923 | Kimberly Dawn Brooks | Nurse Practitioner | 209 Three Bridges Rd, Greenville, SC 29611-7549 | 2015-06-03 |
| 1811319106 | Kimberly Brooks | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2014-01-06 |
| 1215205323 | Kimberly Brooks | Pharmacist | 3515 Park Ave, Memphis, TN 38111-5621 | 2011-12-03 |
| Street Address |
22471 ASPAN STREET 103 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578693123 | Amy Ward Quinn | Counselor | 22471 Aspan Street, Lake Forest, CA 92630 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508353038 | Kelly Michael Mccall | Counselor | 24302 Toledo Ln, Lake Forest, CA 92630-1935 | 2018-04-19 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1093022717 | Melissa H Skinner | Counselor | 515 Linden Ave, Lake Forest, IL 60045-3923 | 2010-09-01 |
| 1255589081 | Susan Hammoudeh | Counselor | 26356 Vintage Woods Rd Apt 19h, Lake Forest, CA 92630-7222 | 2008-09-04 |
| 1962535922 | Dave C Turner | Counselor | 25885 Trabuco Rd, 262, Lake Forest, CA 92630-6602 | 2007-03-13 |
| 1578693123 | Amy Ward Quinn | Counselor | 22471 Aspan Street, Lake Forest, CA 92630 | 2007-03-06 |
| 1588775332 | Shellea Swan | Counselor | 222 East Wisconsin Ave, Suite 203b, Lake Forest, IL 60045 | 2006-08-31 |
| 1851810717 | Flavia Crovetto Hartley | Counselor | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2017-09-12 |
| 1730542382 | Nicole Ann Clelland | Counselor | 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 | 2016-03-31 |
| 1235598442 | Eric Estep | Counselor | 22471 Aspan St Ste 103, Lake Forest, CA 92630-1644 | 2016-02-16 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on KIMBERLY BROOKS.
| 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.