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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
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 |
Street Address |
1034 OAK GROVE RD |
City | CONCORD |
State | CA |
Zip Code | 94518-3225 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94518 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
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. |
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 |
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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.