TRAVIS DEAN BUTSCH (NPI# 1255841763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255841763 |
| Entity Type | Individual |
| Full Name | TRAVIS DEAN BUTSCH |
| Practice Address |
10710 Mukilteo Speedway Mukilteo WA 98275-5021 |
| Mailing Address |
Po Box 47877 Olympia WA 98504-7877 |
| Practice Telephone | 4253498888 |
| Mailing Telephone | 3602364700 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
10710 MUKILTEO SPEEDWAY |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699887174 | Aaron G. Robins | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2006-08-31 |
| 1568075455 | Megan Rey Devlin | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2020-08-28 |
| 1760095160 | Stacia Kay Rapp | Licensed Psychiatric Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2020-08-25 |
| 1013564434 | Jenelle Jagnow | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-08-20 |
| 1528613916 | Rachel Anne Kinney | Licensed Practical Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-08-02 |
| 1720640428 | Cassandra Castro | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-07-02 |
| 1780245365 | Kristie Lashae Eskridge | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-06-25 |
| 1144889437 | Simerjit Kaur | Nurse's Aide | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-06-10 |
| 1376100537 | Samantha Goldsmith | Behavior Technician | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-05-23 |
| 1851956379 | Jennifer N Mbugua | Registered Nurse | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| 1447494455 | Seaside Mental Health and Psychiatric Services, Pllc | Clinic/Center | 828 2nd St, Suite J, Mukilteo, WA 98275-1610 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1669036174 | Riverway Counseling | Clinic/Center | 82 Washougal River Rd Ste 204, Washougal, WA 98671-2377 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
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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.