SHANNON MARICIELO (NPI# 1063062818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063062818 |
| Entity Type | Individual |
| Full Name | SHANNON MARICIELO |
| Practice Address |
130 Andover Park E Tukwila WA 98188-2909 |
| Mailing Address |
6570 Ne Honeysuckle Ln Bainbridge Island WA 98110-1272 |
| Practice Telephone | 2068544693 |
| Mailing Telephone | 2062965330 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6570 Ne Honeysuckle Ln, Bainbridge Island, WA 981101272 | 2062965330 |
| Street Address |
130 ANDOVER PARK E |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336360528 | Elinor R Blaney | Counselor | 130 Andover Park E, 302, Tukwila, WA 98188-2909 | 2007-05-02 |
| 1588174296 | Trenecsia Ka-shonne Wilson | Counselor | 130 Andover Park E, Tukwila, WA 98188-2909 | 2017-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689952905 | Elizabeth Farmer | Marriage & Family Therapist | 13700 37th Ave S, 44, Tukwila, WA 98168-3992 | 2011-08-03 |
| 1407144116 | Roy C Fisher | Marriage & Family Therapist | 14855 42nd Ave S, Tukwila, WA 98168-4435 | 2011-07-14 |
| 1396904801 | Debra Ann Thomas | Marriage & Family Therapist | 6000 Southcenter Blvd Ste 30, Farwest Family Services, Tukwila, WA 98188-2439 | 2008-06-09 |
| 1710520762 | Jessica Taylor | Marriage & Family Therapist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-10-22 |
| 1366955304 | Chelsea Clemens | Marriage & Family Therapist | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2017-11-13 |
| 1366986580 | Kellyn Mccullough | Marriage & Family Therapist | 7100 Fort Dent Way, Suite 220, Tukwila, WA 98188-7500 | 2016-12-07 |
| 1013366855 | Efficient Counseling, Pllc | Marriage & Family Therapist | 14855 42nd Ave S, Tukwila, WA 98168-4435 | 2016-06-10 |
| 1972992410 | Heather Moir | Marriage & Family Therapist | 6400 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188-2547 | 2015-01-22 |
| 1164858593 | Katharine M Mancini | Marriage & Family Therapist | 6400 Southcenter Blvd, Cfs Southcenter, Tukwila, WA 98188-2547 | 2013-09-17 |
| 1598022584 | Maytal Grossman | Marriage & Family Therapist | 15455 65th Ave S, Tukwila, WA 98188-2534 | 2012-04-16 |
| Find all providers in TUKWILA | ||||
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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.