DAVE WOLTHAUSEN (NPI# 1013487727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013487727 |
| Entity Type | Individual |
| Full Name | DAVE WOLTHAUSEN |
| Credential | CD , LMHC |
| Practice Address |
1210 Sw 136th St Burien WA 98166-1214 |
| Practice Telephone | 2062576600 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP0000272 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60713496 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1210 SW 136TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689613085 | Shannon L Corbin | Psychiatry & Neurology | 1210 Sw 136th St, Navos Mhwc, Burien, WA 98166-1214 | 2006-06-05 |
| 1326647769 | Caitlin Leigh Sellhorn | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-17 |
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1174130504 | Natalie D. Grenfell | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1407462088 | Samantha Lynn Nutter | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-19 |
| 1184239543 | Taylor Speegle | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-12 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1508318395 | Ark Counseling & Treatment Services LLC | Counselor | 634 Sw 149th St, Burien, WA 98166-1936 | 2016-10-27 |
| 1013304385 | James Lawrence | Counselor | 235 Sw 153rd St, Burien, WA 98166-2313 | 2015-04-23 |
| 1689910531 | Amanda Jill Christenson | Counselor | 445 Sw 152nd St, Burien, WA 98166-2208 | 2012-12-21 |
| 1710191291 | Karen Towler | Counselor | 221 Sw 130th St, Burien, WA 98146-3350 | 2007-05-10 |
| 1124232731 | Phyllis Davis | Counselor | 236 S 152nd St Apt 305, Burien, WA 98148-1040 | 2007-05-10 |
| 1477633956 | Sean Patrick Humphrey | Counselor | 635 Sw 154th St, Burien, WA 98166-2220 | 2006-10-17 |
| 1497317358 | Ronald Hall Fitzgerald I | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2019-07-01 |
| 1457916272 | Debra Jean Mcdermott | Counselor | 235 Sw 153rd St, Burien, WA 98166-2313 | 2019-05-07 |
| 1811469786 | Tammie L Holmes | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-12-17 |
| Find all providers in BURIEN | ||||
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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.