JENNY SHERIDAN (NPI# 1275966293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275966293 |
| Entity Type | Individual |
| Full Name | JENNY SHERIDAN |
| Credential | CSOTP, LMHC |
| Practice Address |
34617 11th Place South Suite 107 Federal Way WA 98003-8706 |
| Mailing Address |
Po Box 403 Wilkeson WA 98396-0403 |
| Practice Telephone | 2067558661 |
| Practice Fax Number | 8882206946 |
| Mailing Telephone | 2067558661 |
| Mailing Fax Number | 8882206946 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AF60251611 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MC60249739 | WA | Behavioral Health & Social Service Providers |
| Street Address |
34617 11TH PLACE SOUTH SUITE 107 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658782 | Billie J Stockton | Counselor | 1010 Sw 348th Pl, Federal Way, WA 98023-8410 | 2020-07-31 |
| 1417577297 | Benita Shene Weems | Counselor | 33710 9th Ave S Ste 15, Federal Way, WA 98003-6734 | 2020-04-21 |
| 1467093435 | Eric Mills | Counselor | 402 S 333rd St Ste 121, Federal Way, WA 98003-7099 | 2019-10-01 |
| 1063990893 | Celia Elizabeth Arauz | Counselor | 32615 35th Ave Sw, Federal Way, WA 98023-2665 | 2018-08-02 |
| 1093203390 | Kimberly Josephson Day | Counselor | 3430 Sw 320th St Ste D-2, Federal Way, WA 98023-2292 | 2018-04-23 |
| 1053828814 | Twin Lakes Counseling, Pllc | Counselor | 3430 Sw 320th St, Federal Way, WA 98023-2292 | 2018-01-02 |
| 1073056305 | Sayaka Ashe | Counselor | 1409 Sw 352nd Ct, Federal Way, WA 98023-6944 | 2016-11-17 |
| 1871949610 | Heather Parker | Counselor | 1911 Sw Campus Dr Ste 385, Federal Way, WA 98023-6473 | 2016-05-11 |
| 1679975247 | Cornelia Anderson Thomas | Counselor | 33309 1st Way S Ste 203, Federal Way, WA 98003-6260 | 2014-09-25 |
| 1639512569 | Selena Marie Sanchez | Counselor | 128 Sw 332nd St, #302, Federal Way, WA 98023-6219 | 2013-04-10 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on JENNY SHERIDAN.
| 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.