MRS. ELIZABETH CANTWELL BACON (NPI# 1104251503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104251503 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH CANTWELL BACON |
| Credential | M. ED., CCC, AAC |
| Practice Address |
12040 98th Ave Ne Suite 205 Kirkland WA 98034-4290 |
| Mailing Address |
12040 98th Avenue Ne Suite 205 Kirkland WA 98034-6314 |
| Practice Telephone | 4406683373 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CL60389203 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119345 | Elizabeth Bacon | Psychologist | 3020 Childrens Way # Mc5042, San Diego, CA 92123-4223 | 2018-10-05 |
| 1972753721 | Elizabeth E Bacon | Psychologist | 625 Leawood Dr, Frankfort, KY 40601-4409 | 2008-09-29 |
| 1891806741 | Elizabeth Ann Bacon | Physician Assistant | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-08-31 |
| 1295755791 | Elizabeth A Bacon | Social Worker | 2500 Metrohealth Dr, Mhmc-psychiatry, Cleveland, OH 44109-1900 | 2006-07-20 |
| 1205816303 | Elizabeth A. Bacon | Pediatrics | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-01-17 |
| Street Address |
12040 98TH AVE NE SUITE 205 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679662985 | David Craig Rogers | Chiropractor | 12040 98th Ave Ne, Suite 103, Kirkland, WA 98034-4290 | 2006-10-12 |
| 1801256441 | Brett Markey | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-24 |
| 1891155438 | Dennis Fletcher | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-24 |
| 1447610084 | Michael Frye | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-24 |
| 1922467612 | Lenin Torres | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-23 |
| 1083073084 | Clara Gildemann | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-18 |
| 1427417435 | Brittany Fischer | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-18 |
| 1992164990 | Delaney Smith | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-18 |
| 1316306327 | Shelby Conklin | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-18 |
| 1144689159 | Jennifer Landaverade | Behavioral Analyst | 12040 98th Ave Ne, Ste 204, Kirkland, WA 98034-4290 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1063023141 | Wan-ting Hsieh | Counselor | 9407 Ne 143rd St, Kirkland, WA 98034-5163 | 2020-08-12 |
| 1689284390 | Tetyana Melnik | Counselor | 80 7th Ave S, Kirkland, WA 98033-6523 | 2020-08-06 |
| 1427511161 | Tyrell Edwards | Counselor | 348 Kirkland Ave, Kirkland, WA 98033-6221 | 2019-04-10 |
| 1598247256 | Barbara J Bennett | Counselor | 12603 Ne 132nd St Apt D, Kirkland, WA 98034-3110 | 2018-08-29 |
| 1720502305 | Vanessa J Fulford | Counselor | 10114 Ne 62nd St, Kirkland, WA 98033-6867 | 2017-07-26 |
| 1396271599 | Leslie Fields | Counselor | 11502 111th Pl Ne, Kirkland, WA 98033-4551 | 2017-05-08 |
| 1316490485 | Carolyn Hinnant | Counselor | 12233 Ne 137th Pl, Kirkland, WA 98034-2228 | 2016-07-25 |
| 1477927242 | Marcella Klevens | Counselor | 10244 Ne 138th Pl, Kirkland, WA 98034-5245 | 2015-11-17 |
| 1013394113 | Kimberly Hoon | Counselor | 9757 Ne Juanita Dr Ste 102, Kirkland, WA 98034-8966 | 2015-04-28 |
| 1932506060 | Ryan Furuya | Counselor | 375 Kirkland Ave, Apt 251, Kirkland, WA 98033-6207 | 2014-12-04 |
| Find all providers in KIRKLAND | ||||
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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.