SEA MAR COMMUNITY HEALTH CENTERS (NPI# 1033538673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033538673 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTERS |
| Practice Address |
10001 17th Pl S Lower Level Seattle WA 98168-1615 |
| Practice Telephone | 2067666976 |
| Practice Fax Number | 2067666993 |
| Mailing Telephone | 2067666976 |
| Mailing Fax Number | 2067666993 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | LATASHIA REDD (BILLING SPECIALIST) |
| Authorized Official Telephone | 2067640502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 60265350 | WA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1902414618 | Sea Mar Community Health Centers | Clinic/Center | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-07-20 |
| 1942826268 | Sea Mar Community Health Centers | Clinic/Center | 202 Cross St Se, Auburn, WA 98002-5406 | 2020-06-23 |
| 1932725256 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2020-06-23 |
| 1922624642 | Sea Mar Community Health Centers | Clinic/Center | 225 176th St S, Spanaway, WA 98387-9201 | 2020-06-18 |
| 1972040772 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-01-31 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
| Street Address |
10001 17TH PL S LOWER LEVEL |
| City | SEATTLE |
| State | WA |
| Zip Code | 98168-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770677411 | Sea Mar Community Health Clinics - Behavioral Health Services | Counselor | 10001 17th Pl S, Seattle, WA 98168 | 2006-10-03 |
| 1538717301 | Bridget Gibbons | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2019-08-26 |
| 1457914780 | Jesus J Pinedo Cervantes | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2019-04-22 |
| 1013405836 | Rualdo Ruben De Leon Polanco | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2018-04-26 |
| 1619499258 | Karen Yanez | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2017-07-14 |
| 1689129017 | Shakira Cruz | Social Worker | 10001 17th Pl S, Seattle, WA 98168-1615 | 2016-08-15 |
| 1902265226 | Maria Perez-ubieta | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2016-02-15 |
| 1275909277 | Sarah Becker | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2015-08-13 |
| 1205238599 | Michelli Simpson | Counselor | 10001 17th Pl S, Sea Mar Community Mental Health Center, Seattle, WA 98168-1615 | 2014-09-18 |
| 1659770584 | Liliana Lozano-garza | Counselor | 10001 17th Pl S, Seattle, WA 98168-1615 | 2014-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
| 1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
| 1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| 1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
| 1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
| Find all providers in zip 98168 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
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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.