KELLY LAURIAN GAVIN (NPI# 1932334802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932334802 |
| Entity Type | Individual |
| Full Name | KELLY LAURIAN GAVIN |
| Practice Address |
127 E Lexington Ave El Cajon CA 92020-4511 |
| Mailing Address |
6974 Ballinger Ave San Diego CA 92119-1335 |
| Practice Telephone | 6193010350 |
| Mailing Telephone | 6193010350 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2016-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT 53865 | CA | Behavioral Health & Social Service Providers |
| Street Address |
127 E LEXINGTON AVE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073133070 | Yvonne E Munoz Lcsw | Social Worker | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2020-04-20 |
| 1649766205 | Katherine Cordes | Social Worker | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2018-07-06 |
| 1740771682 | Restorative Counseling | Marriage & Family Therapist | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2018-05-27 |
| 1326537150 | Yvonne E Munoz | Social Worker | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2018-05-07 |
| 1134664188 | Kyle Lewis | Counselor | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2016-12-29 |
| 1912213331 | Andrew Lancaster Byrne | Marriage & Family Therapist | 127 E Lexington Ave, El Cajon, CA 92020 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| 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 |
|---|---|---|---|---|
| 1619500519 | Amanda Leigh Smith | Marriage & Family Therapist | 1012 Greta St, El Cajon, CA 92021-3258 | 2020-02-19 |
| 1447881826 | Wendy Ann Leeds | Marriage & Family Therapist | 964 N Mollison Ave, El Cajon, CA 92021-4726 | 2020-02-04 |
| 1164874012 | Stephanie Rimer | Marriage & Family Therapist | 1805 Grove Rd, El Cajon, CA 92020-7833 | 2016-07-04 |
| 1386049625 | David Victor Polniak | Marriage & Family Therapist | 215 W Madison Ave, El Cajon, CA 92020-3405 | 2014-10-29 |
| 1356600688 | Joel Estrada-gonzalez | Marriage & Family Therapist | 550 Fesler St Ste G-1, El Cajon, CA 92020 | 2012-05-07 |
| 1740586494 | Dennis A. Dearie | Marriage & Family Therapist | 8508 Calle De Buena Fe, El Cajon, CA 92021-2093 | 2011-01-27 |
| 1285934802 | Jennifer Ann Leonard | Marriage & Family Therapist | 205 Claydelle Ave Ste 206, El Cajon, CA 92020 | 2010-10-29 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1801044615 | Maryam Jafari | Marriage & Family Therapist | 900 N Cuyamaca St Ste 110, El Cajon, CA 92020 | 2008-09-04 |
| 1548446453 | Dawn Salmons | Marriage & Family Therapist | 615 E. Lexington, El Cajon, CA 92020 | 2008-01-10 |
| Find all providers in EL CAJON | ||||
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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.