Address: 555 Portola Dr, San Francisco, CA 94131-1616

KIMBERLY DORTHEA BANFORD (NPI# 1619495405) 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) 1619495405
Entity Type Individual
Gender Female
Practice Address 555 Portola Dr
San Francisco
CA 94131-1616
Practice Telephone 4157508400
Mailing Address 3626 Balboa St
San Francisco
CA 94121-2604
Enumeration Date 2017-09-01
Last Update Date 2019-01-11
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Office Location

Street Address 555 PORTOLA DR
State CA
Zip Code 94131-1616

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1346441128 Edward Franklin Savio Dentist 1712 Church St, San Francisco, CA 94131 2007-05-30
1063744845 Integrated Pain Care Preferred Provider Organization 2 Mercato Court, San Francisco, CA 94131 2010-02-04
1356435986 John Robert Montopoli Marriage & Family Therapist 1502 Sanchez Street Suite B, San Francisco, CT 94131 2006-10-03
1851930689 Lynda Mcpherson Massage Therapist 30 Monterey Blvd., San Francisco, CA 94131 2019-12-26
1033245352 Sal Nunez I Psychologist - Clinical 76 Cityview Way, San Francisco, CA 94131 2007-02-23
1104111020 Margarite Leah Morch Marriage & Family Therapist 18 Whitney Street, San Francisco, CA 94131 2011-06-20
1760715031 Natalie Dominiques Rodrigues Massage Therapist 605 Chenery St., Suite C., San Francisco, CA 94131 2009-09-17
1215119375 Diamond Lodge Community Based Residential Treatment Facility, Mental Illness 20 Arlington St, Sf, CA 94131 2007-11-30
1780076448 Michael Smith Pediatrics Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 2015-03-04
1174901656 Sarah Herrick Behavioral Analyst 36a Monterey Blvd, San Francisco, CA 94131 2015-05-15
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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
1952978397 Yvette Garcia Hernandez Counselor 700 Felton St, San Francisco, CA 94134-1465 2021-06-04
1710561576 Vanessa Stefanelli Counselor 1975 4th St Dept Of, San Francisco, CA 94143-2351 2021-05-07
1255912671 Geoffrey M Fletcher Counselor 111 Chestnut St Unit 705, San Francisco, CA 94111-1035 2021-04-16
1578142238 Lauren Nicole Chester Counselor 2200 Hayes St Fl 6, San Francisco, CA 94117-1013 2021-04-07
1215533799 Dominique Rosa Leslie Counselor 835 Hyde St, San Francisco, CA 94109-5927 2020-12-09
1972104628 Ann Egan Counselor 207 Cole St, San Francisco, CA 94117-1915 2020-11-07
1326654518 Mina Dailami Counselor 45 Adair St Apt A, San Francisco, CA 94103-3699 2020-09-22
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1659980076 Claire Katherine Sheeran Counselor 1275 34th Ave, San Francisco, CA 94122-1306 2020-07-31
1104434331 Archana Chatkara Thomas · Archana Chatkara Counselor 974 Pine St Apt 9, San Francisco, CA 94108-2928 2020-07-14
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Zip Code 94131

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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.