Address: 303 E 52nd Street, Los Angeles, CA 90011

KIMBERLY DENISE LISTER- GUTIERREZ (NPI# 1164941183) 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) 1164941183
Entity Type Individual
Gender Female
Practice Address 303 E 52nd Street
Los Angeles
CA 90011
Practice Telephone (562) 882-3269
Mailing Address 303 E 52nd St
Los Angeles
CA 90011-4513
Mailing Telephone 5628823269
Enumeration Date 2017-09-11
Last Update Date 2018-06-20
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193400000X SINGLE SPECIALTY GROUP 169743 CA Behavioral Health & Social Service Providers

Office Location

Street Address 303 E 52ND STREET
State CA
Zip Code 90011

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1083101851 Bronwyn Anne Hazlewood Student in an Organized Health Care Education/Training Program 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 2018-04-17
1063884633 Wing Sze Tina Ip · Wing Sze Tina Pearson Pharmacist 4211 South Avalon Blvd, Los Angeles, CA 90011 2015-10-22
1558964973 Kate Antonia Burt Case Manager/Care Coordinator 4211 South Avalon Boulevard, Los Angeles, CA 90011 2020-11-18
1033533153 Avalon-Carver Community Center Community/Behavioral Health 4920 S. Avalon Blvd, Los Angeles, CA 90011 2014-02-10
1205252533 Jameese B Smith Case Manager/Care Coordinator 271 E. 43rd Street, Los Angeles, CA 90011 2014-03-11
1093308009 South Central Family Health Center Clinic/Center - Federally Qualified Health Center (FQHC) 4411 S Central Ave, Los Angeles, CA 90011 2021-02-19
1326362609 Daniel Ochoa Counselor - Addiction (Substance Use Disorder) 2116 S. Central Ave, Los Angeles, CA 90011 2010-03-16
1417261132 Everest Dental Care Inc · Everest Dental Care Dentist - General Practice 2050 S. Central Ave., Los Angeles, CA 90011 2010-08-05
1578909404 Ma. Jasmin F Binas Nurse Practitioner - Family 2707 S.central Ave., Los Angeles, CA 90011 2013-05-19
1891088761 Denise Mahdis Zall Student in an Organized Health Care Education/Training Program 4920 Avalon Blvd., Los Angeles, CA 90011 2011-05-25
Find all in zip 90011

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
1720659709 The Treasure Grid Inc. Counselor 503 Union Dr Apt 310, Los Angeles, CA 90017-1841 2021-07-09
1992380083 Farhang Holakouee Counselor 11845 W Olympic Blvd # 820, Los Angeles, CA 90064-1149 2021-03-10
1194315663 Rita Burgos Counselor 454 N Avenue 56 # 1, Los Angeles, CA 90042-3335 2021-01-19
1215533138 Natalie Andrea Donis Counselor 1042 W 94th St Apt 1/4, Los Angeles, CA 90044-3269 2020-12-07
1952913055 Jose Islas Counselor 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 2020-08-19
1154931491 Delia Maria Cortez Counselor 12133 Clarkson Rd, Los Angeles, CA 90064-3519 2020-08-02
1457974263 Simeon Simov Counselor 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 2020-05-27
1780206524 Keisha Whitfield Counselor 1123 W 7th St # 25, Los Angeles, CA 90017-2409 2020-05-14
1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
1366061624 Elysian Psychology Inc Counselor 10250 Constellation Blvd, Los Angeles, CA 90067-6200 2020-04-15
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Search similar providers

Zip Code 90011

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1972538395 Kimberly Gaston Parker · Kimberly Lynn Gason Nurse Practitioner 1330 Roper Mountain Road Ert, Ste 2700, Spcurtanburg, SC 29303 2006-07-12
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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.