MS. JESSICA KICHA (NPI# 1003244948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003244948 |
| Entity Type | Individual |
| Full Name | MS. JESSICA KICHA |
| Credential | MA |
| Practice Address |
1400 112th Ave Se Suite 100 Bellevue WA 98004-6901 |
| Mailing Address |
906 W. 2nd Ave., Ste 100 Northwest Registered Agent, LLC. Spokane WA 99201-7684 |
| Practice Telephone | 4252434722 |
| Mailing Telephone | 4257866192 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MC60338137 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861949752 | Jessica Kicha | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2016-09-08 |
| Street Address |
1400 112TH AVE SE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760418560 | Tatjana Deretic | Psychiatry & Neurology | 1400 112th Ave Se, Ste. 100, Bellevue, WA 98004-6901 | 2006-06-23 |
| 1508392929 | Equilibrium PCs, Pllc | Psychologist | 1400 112th Ave Se, Suite 205, Bellevue, WA 98004-6901 | 2017-05-04 |
| 1881066652 | Karla Garcia | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2015-10-20 |
| 1417328691 | Tessa Nicole Cooke | Counselor | 1400 112th Ave Se, Ste. 100 #35, Bellevue, WA 98004-6901 | 2015-10-13 |
| 1437540788 | Patti Davis Counseling | Community/Behavioral Health | 1400 112th Ave Se, Cedar Building Suite 202, Bellevue, WA 98004-6901 | 2015-02-09 |
| 1962801811 | Linda Mcgarvey | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2014-08-16 |
| 1255742896 | Michael Keegan | Counselor | 1400 112th Ave Se, Ste 202, Bellevue, WA 98004-6901 | 2014-05-16 |
| 1407291578 | Shannon Marie Dickson | Specialist | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2013-05-02 |
| 1376892711 | Susan Ross | Social Worker | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-08-30 |
| 1467718890 | Adriana Prengler | Counselor | 1400 112th Ave Se, Suite 100, Bellevue, WA 98004-6901 | 2012-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1346854148 | Justin Darrell Preston Jones | Counselor | 205 169th Ave Ne, Bellevue, WA 98008-4523 | 2020-08-31 |
| 1114530854 | Ju-pei Yao | Counselor | 10047 Main St Apt 514, Bellevue, WA 98004-5319 | 2020-08-24 |
| 1912529371 | Kristina Pass | Counselor | 14933 Se 45th Pl, Bellevue, WA 98006-2402 | 2020-05-08 |
| 1124640644 | Amy Rose Korotkin | Counselor | 4205 94th Ave Ne, Bellevue, WA 98004-1317 | 2020-05-07 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1386292944 | Trinidad Soza | Counselor | 999 164th Ave Ne # 5862338, Bellevue, WA 98008-3518 | 2019-08-27 |
| 1083197776 | Erich Flaker | Counselor | 13343 Ne Bel Red Rd, Bellevue, WA 98005-2274 | 2018-09-10 |
| 1063960292 | Paul Oguna Ajuoga | Counselor | 202 Galvin Rd N Apt 5, Bellevue, NE 68005-4840 | 2016-09-16 |
| 1902296528 | Alex Gomez | Counselor | 826 102nd Ave Ne Ste 300, Bellevue, WA 98004-4158 | 2015-02-03 |
| 1447651104 | Keunhee (casey) Kim | Counselor | 13400 Ne 20th St Ste B-47, Bellevue, WA 98005-2099 | 2014-09-11 |
| Find all providers in BELLEVUE | ||||
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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.