MOLLY HENDERSON ARNP INC (NPI# 1013180173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013180173 |
| Entity Type | Organization |
| Organization Name | MOLLY HENDERSON ARNP INC |
| Practice Address |
1005 Olympia Ave Ne Olympia WA 98506-4033 |
| Practice Telephone | 3607915933 |
| Mailing Telephone | 3607915933 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | MS. MARTHA HENDERSON (CEO) |
| Authorized Official Telephone | 3607915933 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
AP30006528 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TRICARE | 301407471247HE | 01 |
| REGENCE | 1471HE | 01 | |
| WA | 9629676 | 05 |
| Street Address |
1005 OLYMPIA AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104935956 | Jan Florence Ottenfeld | Social Worker | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2006-08-29 |
| 1124649819 | Femme and Them, Pllc | Social Worker | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2020-05-04 |
| 1265901706 | Sazi Lane Wald | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2018-11-14 |
| 1952817454 | Ravenswood Counseling | Clinic/Center | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2017-12-19 |
| 1275073041 | Dave Boyd | Marriage & Family Therapist | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2017-02-27 |
| 1013391713 | Dustin T Hodgkin | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2015-07-13 |
| 1417337619 | Sarah Jolley | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2015-06-02 |
| 1841580396 | Michelle Schuyleman | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2011-04-17 |
| 1013185610 | Trudy D Hoy | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2008-02-15 |
| 1053539148 | Norman S. Nickle | Counselor | 1005 Olympia Ave Ne, Olympia, WA 98506-4033 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1467857573 | Francis Caclda | Clinic/Center | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2014-10-31 |
| 1558553008 | Nisqually Tribe | Clinic/Center | 4816 She Nah Num Dr Se, Olympia, WA 98513-9105 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| 1669036174 | Riverway Counseling | Clinic/Center | 82 Washougal River Rd Ste 204, Washougal, WA 98671-2377 | 2019-04-30 |
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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.