MR. MARK ANTHONY VELLUCCI (NPI# 1164525580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164525580 |
Entity Type | Individual |
Full Name | MR. MARK ANTHONY VELLUCCI |
Credential | MA |
Practice Address |
11818 Se Mill Plain Blvd Suite 311c Vancouver WA 99684 |
Mailing Address |
11818 Se Mill Plain Blvd Ste 311c Vancouver WA 98684-5091 |
Practice Telephone | 3605713981 |
Practice Fax Number | 5035782454 |
Mailing Telephone | 3605713981 |
Mailing Fax Number | 5035782454 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2009-06-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00004640 | WA | Behavioral Health & Social Service Providers |
Street Address |
11818 SE MILL PLAIN BLVD SUITE 311C |
City | VANCOUVER |
State | WA |
Zip Code | 99684 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841732849 | Britney Scanlan | Specialist | 11818 Se Mill Plain Blvd, Suite 401, Vancouver, WA 98684-5089 | 2016-11-08 |
1699226050 | Carrie Oliver | Counselor | 11818 Se Mill Plain Blvd, Suite #307, Vancouver, WA 98684-5089 | 2016-10-20 |
1558812156 | Julia Kostin | Counselor | 11818 Se Mill Plain Blvd, Vancouver, WA 98684-5089 | 2016-10-18 |
1801346440 | Andrea Belleisle | Counselor | 11818 Se Mill Plain Blvd, Vancouver, WA 98684-5089 | 2016-10-06 |
1609249275 | Kanukayi Jacobsen | Student in an Organized Health Care Education/Training Program | 11818 Se Mill Plain Blvd, 213, Vancouver, WA 98684-5089 | 2015-11-04 |
1336577881 | Healthy In Healthcare | Massage Therapist | 11818 Se Mill Plain Blvd, Suite 401, Vancouver, WA 98684-5089 | 2013-10-18 |
1255694428 | Dozark Health and Wellness Inc | Chiropractor | 11818 Se Mill Plain Blvd, Suite 408, Vancouver, WA 98684-5089 | 2012-06-21 |
1003199712 | Daybreak Youth Services | Counselor | 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 | 2011-09-20 |
1699076448 | Gene W. Scheel Dmd Ps | Dentist | 11818 Se Mill Plain Blvd, Suite 106, Vancouver, WA 98684-5089 | 2010-11-10 |
1346424868 | Janelle Dozark | Massage Therapist | 11818 Se Mill Plain Blvd, #408, Vancouver, WA 98684-5089 | 2007-12-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750923751 | Elvina Mary Turner | Counselor | Happy Valley Road, Unalakleet Clinic, Unalakleet, AK 99684 | 2019-10-10 |
1578960001 | Cody V Martin | Community Health Worker | 189 Airport Way, Unalakleet, AK 99684 | 2014-11-26 |
1295005213 | Jennifer M Henry | Community Health Worker | Airport Road 189, Unalakleet, AK 99684 | 2012-01-06 |
1518158245 | Norton Sound Regional Hospital | Substance Abuse Rehabilitation Facility | 3rd Ave, Unalakleet, AK 99684 | 2007-08-07 |
1144341249 | Norton Sound Health Corp | Clinic/Center | Unalakleet Clinic, Main St Box 189, Unalakleet, AK 99684 | 2007-04-03 |
1114050267 | Anne Michele Ivanoff | Registered Nurse | 189 Airport Rd, Unalakleet, AK 99684 | 2007-03-14 |
1003203092 | Jacki Johnson | Community Health Worker | 189 Airport Road, Unalakleet, AK 99684 | 2015-04-17 |
1912274564 | Lavern Ann Katchatag | Community Health Worker | 189 Airport Road, Unalakleet, AK 99684 | 2011-11-28 |
1104449636 | Donald Max Pleasant | Community Health Worker | Airport Road, Unalakleet, AK 99684-0000 | 2020-05-19 |
1801138565 | Kathleen Edna Oyoumick | Community Health Worker | 189 N. Happy Valley Rd., Unalakleet, AK 99684-0189 | 2013-03-20 |
Find all providers in zip 99684 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463878 | Andrew Accornero | Counselor | 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 | 2020-10-08 |
1962024703 | Sarah Elizabeth Wahl | Counselor | 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 | 2020-05-14 |
1922632900 | Jeremy Houtsma Counseling LLC | Counselor | 601 Main St Ste 309, Vancouver, WA 98660-3404 | 2020-02-27 |
1194367631 | Ashley Amber Thomas | Counselor | 5732 Ne 131st Pl, Vancouver, WA 98682-2277 | 2019-10-16 |
1164073698 | Michelle L Drake | Counselor | 9606 Ne 19th St, Vancouver, WA 98664-2983 | 2019-09-25 |
1306496260 | Shaina Lee Heimerl | Counselor | 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 | 2019-09-12 |
1205497013 | Natasha Marie Medina | Counselor | 1104 Main St Ste M105, Vancouver, WA 98660-2969 | 2019-06-23 |
1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
1720643851 | Christine Yoshida | Counselor | 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 | 2019-05-03 |
1679035364 | Breanne Alina Valrance | Counselor | 6601 Ne 71st Ave, Vancouver, WA 98661-1945 | 2019-04-02 |
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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.