SUSAN KINKEL (NPI# 1972919397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972919397 |
Entity Type | Individual |
Full Name | SUSAN KINKEL |
Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
Practice Telephone | 6026856000 |
Mailing Telephone | 6026856000 |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | LAMFT-10232 | AZ | Behavioral Health & Social Service Providers |
Street Address |
6153 W OLIVE AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85302-4564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
1124677802 | Jessica Shetzen | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-09-05 |
1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
1982064515 | Todd Robert Shorten | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2016-02-24 |
1164817987 | Valerie P Jackson | Social Worker | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2015-03-30 |
1700292158 | Ray Young | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
1073953659 | Mireya J Roe | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
Find all providers in zip 85302 |
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 |
---|---|---|---|---|
1871101402 | Heyday Family Counseling Services Apc Inc | Marriage & Family Therapist | 1121 San Rafael Ave Apt 2, Glendale, CA 91202-2438 | 2020-07-20 |
1003434515 | Ladan Abdollahi | Marriage & Family Therapist | 450 N Brand Blvd Ste 638, Glendale, CA 91203-2347 | 2020-07-10 |
1003431222 | Hala Maida | Marriage & Family Therapist | 1301 W Glenoaks Blvd Ste 107, Glendale, CA 91201-2203 | 2020-06-12 |
1750902896 | Rachel White | Marriage & Family Therapist | 18301 N 79th Ave Ste B125, Glendale, AZ 85308-8463 | 2020-04-29 |
1225677362 | Marissa Balsino | Marriage & Family Therapist | 7705 W Tonto Dr, Glendale, AZ 85308-6073 | 2020-01-06 |
1447894043 | Victoria Elizabeth Durant | Marriage & Family Therapist | 345 Pioneer Dr Unit 1603w, Glendale, CA 91203-2783 | 2019-11-06 |
1265073795 | Jordan Canady | Marriage & Family Therapist | 4425 W Olive Ave Ste 151-a, Glendale, AZ 85302-3843 | 2019-10-06 |
1104477934 | Julieta Nazaryan | Marriage & Family Therapist | 408 Porter St Apt 5, Glendale, CA 91205-5023 | 2019-09-23 |
1619521101 | Jason Rizzo | Marriage & Family Therapist | 1800 S Brand Blvd Ste 110, Glendale, CA 91204-3550 | 2019-08-01 |
1972164390 | Karen Cohen Marriage Family Therapist Inc. | Marriage & Family Therapist | 450 N Brand Blvd Fl 6, Glendale, CA 91203-2349 | 2019-06-26 |
Find all providers in GLENDALE |
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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.