SAMUEL WASHINGTON (NPI# 1134681133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134681133 |
| Entity Type | Individual |
| Full Name | SAMUEL WASHINGTON |
| Practice Address |
139 Cornell St Kingston NY 12401-3633 |
| Mailing Address |
1 Homestead Ct Walden NY 12586-3414 |
| Practice Telephone | 8453381234 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275890055 | Samuel L Washington IIi | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave Dept Of, S-321, San Francisco, CA 94143-0470 | 2012-04-18 |
| 1659854883 | Samuel Washington | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2018-09-13 |
| 1801333695 | Samuel Washington | Counselor | 4615 Government St, Building 2, Baton Rouge, LA 70806-5922 | 2017-01-31 |
| Street Address |
139 CORNELL ST |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164072 | Safieh Ghods-kash | Psychologist | 139 Cornell St, Kingston, NY 12401-3633 | 2006-06-17 |
| 1235769050 | Sara Garnot | Social Worker | 139 Cornell St, Kingston, NY 12401-3633 | 2020-01-21 |
| 1043773583 | Amanda R. Prewitt | Social Worker | 139 Cornell St, Kingston, NY 12401-3633 | 2019-04-11 |
| 1306303987 | Erin Koonz | Counselor | 139 Cornell St, Kingston, NY 12401-3640 | 2019-03-01 |
| 1447724356 | Charlee Degeorge | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2019-01-14 |
| 1255814539 | Rachael Ann Spinner | Counselor | 139 Cornell St, Kingston, NY 12401 | 2018-09-12 |
| 1750835203 | Alissa Debaun | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-08-12 |
| 1548610124 | Tara O'connor | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-06-15 |
| 1619338860 | Jennaleigh Fish | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2016-03-16 |
| 1003201534 | Sarah Branham | Counselor | 139 Cornell St, Kingston, NY 12401-3633 | 2015-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| 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 |
|---|---|---|---|---|
| 1003425687 | Casey John Kirkland | Counselor | 7 Cheney Rd, Kingston, NH 03848-3402 | 2020-07-29 |
| 1134577307 | Madeline Elizabeth Harley | Counselor | 13 Cooke Ave, Kingston, MA 02364-1835 | 2016-05-29 |
| 1326468760 | Amanda Boehme | Counselor | 717 Highway 70 E, Suite B, Kingston, OK 73439-8253 | 2014-04-24 |
| 1215281407 | Samantha Darlene Moore | Counselor | 4334 Back St, Kingston, OK 73439-5350 | 2012-11-09 |
| 1114228061 | Natalie L Foster | Counselor | 413 Highway 70 N, Kingston, OK 73439-8235 | 2010-11-09 |
| 1740484203 | Karen Sue Carr | Counselor | Outpatient Services-kingston; 12998 Village Rd., Strong Family Development:, Kingston, OK 74820 | 2007-06-11 |
| 1013023977 | Judy Shapiro | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2006-08-22 |
| 1255948840 | Evolutionary Holistic Healing | Counselor | 155 Broadway, Kingston, NY 12401-6057 | 2020-09-28 |
| 1306303987 | Erin Koonz | Counselor | 139 Cornell St, Kingston, NY 12401-3640 | 2019-03-01 |
| 1922564509 | John Frusciante | Counselor | 471 Albany Ave, Kingston, NY 12401-2138 | 2019-02-19 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on SAMUEL WASHINGTON.
| 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.