MR. KELLY JOHN BREWER


Address: 1034 Oak Grove Rd, Concord, CA 94518-3225
Phone: 9256031900

MR. KELLY JOHN BREWER (NPI# 1962729590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962729590
Entity Type Individual
Full Name MR. KELLY JOHN BREWER
Credential KELLY BREWER
Practice Address 1034 Oak Grove Rd
Concord
CA 94518-3225
Mailing Address 2275 Arlington Dr
San Leandro
CA 94578-1132
Practice Telephone 9256031900
Mailing Telephone 5104811222
Enumeration Date 2010-04-21
Last Update Date 2010-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers KELLY BREWER

NPI Name Taxonomy Address Enumeration
1740896646 Kelly Anne Brewer Respiratory Therapist, Registered 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 2020-09-17
1053786582 Kelly Brewer Speech-Language Pathologist 3211 Starboard Ln, Anchorage, AK 99516-3518 2015-12-09
1871106922 Kelly Schorling Brewer Registered Nurse 1959 Ne Pacific St, Seattle, WA 98195-7263 2020-08-28
1255859062 Kelly Brewer Social Worker 5665 Hoover Rd, Grove City, OH 43123-9122 2017-08-31
1326409830 Kelly Brewer Technician 308 Ne 2nd St, Wagoner, OK 74467-4441 2016-03-10
1679966089 Kelly A Brewer Registered Nurse 1140 M St, Greeley, CO 80631-9586 2015-03-09
1154655629 Kelly Ann Brewer Dentist 1627 Oak Ave, Suite B, Davis, CA 95616-1072 2009-09-30
1699913830 Kelly Miller Brewer Registered Nurse 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 2009-01-26
1508983065 Kelly Ann Brewer Social Worker 245 Windward Way Ste 101, Kalispell, MT 59901-3385 2007-03-22

Office Location

Street Address 1034 OAK GROVE RD
City CONCORD
State CA
Zip Code 94518-3225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063582203 Joy Lynn Richardson Social Worker 1034 Oak Grove Rd, Concord, CA 94518-3225 2006-11-08
1104309897 Brandon Thomas Mcguire Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2018-09-10
1770028110 Tyisha Merritt Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2016-12-20
1487076634 Jacklyn Ocanas Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2014-01-07
1871922567 Agustina Berrocal Marriage & Family Therapist 1034 Oak Grove Rd, Concord, CA 94518-3225 2013-11-04
1356680193 Venet Cremona-thompson Occupational Therapist 1034 Oak Grove Rd, Concord, CA 94518-3225 2013-02-13
1538408877 Victoria Howard Occupational Therapist 1034 Oak Grove Rd, Concord, CA 94518-3225 2013-02-06
1588939789 Danielle Grace Perez Marriage & Family Therapist 1034 Oak Grove Rd, Concord, CA 94518-3225 2012-03-20
1922381557 Lisa Carrozzi Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2011-09-20
1114200748 Danee K. Black Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2011-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053736744 Anka Behavioral Health, Inc. Community/Behavioral Health 2355 Whitman Rd Ste F, Concord, CA 94518 2014-03-04
1548514888 Sarah Adler-mcdonald Nurse Practitioner 2000 Sierra Rd., Concord, CA 94518 2012-11-08
1750640413 Advanced Multi Specialty Medical Group Chiropractor 4180 Treat Blvd Ste A1, Concord, CA 94518 2012-05-15
1033441928 Leah Marie Proper Speech-Language Pathologist 1050 San Miguel Rd., Concord, CA 94518 2010-02-03
1467689901 Matthew David Karp Counselor 1034 Oak Grove, Concord, CA 94518 2009-06-11
1982856738 Barbara M Smith Counselor 909 Estrella Court, Concord, CA 94518 2008-10-10
1003005521 Christina Lindemuth Counselor 1034 Oak Grove Rd., Concord, CA 94518 2007-10-22
1285836783 Suzanne Helen Powell Family Medicine 2000 Sierra Rd, Concord, CA 94518 2007-06-05
1427183938 Nic Usa Inc Intermediate Care Facility, Mentally Retarded 3737 Barrington Dr, Concord, CA 94518 2007-02-23
1033244108 Nic Usa Inc Intermediate Care Facility, Mentally Retarded 1200 St Elizabeth Ct, Concord, CA 94518 2007-02-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841805967 Parisa Zamanian Counselor 2118 Willow Pass Rd # 500, Concord, CA 94520-2408 2020-09-15
1295371359 Colette Elaine Trotter Counselor 2931 Prospect St, Concord, CA 94518-1025 2019-11-25
1093350506 Faith Speaks Counselor 730 Cheswick Ave, Concord, NC 28025-7079 2019-11-08
1073098026 Kristen Kenney Counselor 236 Partridge Ln, Concord, MA 01742-2651 2018-09-26
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1568959625 Laurie Ford Counselor 705 Samuel Adams Cir Sw, Concord, NC 28027 2018-04-15
1831616663 Kelsey Carey Counselor 700 Church St N Ste 70, Concord, NC 28025-4380 2017-08-23
1962947473 Nathan Ryan Evans Counselor 1030 Central Dr Nw, Concord, NC 28027-4296 2016-12-20
1255882684 Stephanie Randazzo Counselor 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 2016-10-20
1164871356 Sokcheat Son Counselor 2118 Willow Pass Road, Ste 500, Concord, CA 94520 2016-06-08
Find all providers in CONCORD

Competitor

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City CONCORD
Zip Code 94518

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Dataset Information

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.

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