MS. ALICIA M. CHARLES (NPI# 1184874265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184874265 |
| Entity Type | Individual |
| Full Name | MS. ALICIA M. CHARLES |
| Credential | M.S.W. |
| Practice Address |
11110 Conine Ave Se Olympia WA 98513-9603 |
| Practice Telephone | 2539225269 |
| Practice Fax Number | 2539220910 |
| Mailing Telephone | 2539225269 |
| Mailing Fax Number | 2539220910 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
RC00015186 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1980994 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790141851 | Alicia Patrice Charles | Student in an Organized Health Care Education/Training Program | 237 Hamilton St, 205, Hartford, CT 06106-2983 | 2016-01-05 |
| Street Address |
11110 CONINE AVE SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98513-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095962 | Katrina-nadine Maanao Perez | Occupational Therapist | Meadows Elementary School, 836 Deerbrush Drive Se, Lacey, WA 98513 | 2020-08-26 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1881113439 | Riley Cruz | Massage Therapist | 10135 Stedman Rd Se, Olympia, WA 98513 | 2017-09-14 |
| 1174071948 | Kirby Healthcare, LLC | Nursing Care | 244 Dutterow Rd Se, Olympia, WA 98513 | 2016-09-21 |
| 1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
| 1174875876 | Sheila Lynn Emmons | Massage Therapist | 8321 Valley Green Dr., Olympia, WA 98513 | 2012-10-05 |
| 1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
| 1568628410 | Molly Carolyn Ostrander | Counselor | 5026 70th Way South East, Lacey, WA 98513 | 2008-07-31 |
| 1063674430 | Wayne Lawrence Franks | Counselor | 4816 She-nah-num Drive Se, Nisqually Indiantribe, Olympia, WA 98513 | 2008-06-27 |
| 1356521405 | Mikki R Bosman | Massage Therapist | 5515 93rd Ave Se, Olympia, WA 98513 | 2007-11-06 |
| Find all providers in zip 98513 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1669092151 | Emily Stephens | Counselor | 415 38th Ave Ne, Olympia, WA 98506-2417 | 2020-04-24 |
| 1003440405 | Mary Achol Bol | Counselor | 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506-5050 | 2020-02-25 |
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1962047266 | Jeffrey Owen Nogler | Counselor | 1975 Olympia Ave Ne, Olympia, WA 98506-4643 | 2019-11-10 |
| 1720620636 | Heckler Integrative Psychiatric Care | Counselor | 2727 Westmoor Ct Sw Ste 100, Olympia, WA 98502-5754 | 2019-10-11 |
| 1073154936 | Michelle Rubbert | Counselor | 7722 Greenridge Loop Sw, Olympia, WA 98512-2347 | 2019-10-02 |
| 1295295749 | David Gervais | Counselor | 108 State Ave Nw Ste 25, Olympia, WA 98501-8249 | 2019-03-21 |
| Find all providers in OLYMPIA | ||||
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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.