SHELLY MARIE BARNETT (NPI# 1285198887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285198887 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE BARNETT |
| Credential | LMFTA |
| Practice Address |
612 Woodland Square Loop Se Ste 401 Lacey WA 98503-1070 |
| Mailing Address |
728 G St Centralia WA 98531-4723 |
| Practice Telephone | 3607635828 |
| Mailing Telephone | 7142905272 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MG60825688 | WA | Behavioral Health & Social Service Providers |
| Street Address |
612 WOODLAND SQUARE LOOP SE STE 401 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982976197 | Adelina Georgieva Dana | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2012-02-02 |
| 1306445820 | Seth Opp-beckman | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-26 |
| 1588262596 | Anastasia Webster | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-10-12 |
| 1316563364 | Athena M Ayres | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-24 |
| 1760007504 | Olympic Health and Recovery Services | Community/Behavioral Health | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2020-06-08 |
| 1063062503 | Michelle Kim Soto | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-09-17 |
| 1558913145 | Molly K Mciver | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-07-12 |
| 1619535887 | Kimberly Wash | Case Manager/Care Coordinator | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-06-03 |
| 1376006783 | Teresa Ann Nisbet | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-04-11 |
| 1871050526 | Herschel Bernard Mcfarland | Peer Specialist | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2019-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
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| 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 |
|---|---|---|---|---|
| 1649788811 | Jason Matthew Cain | Counselor | 4405 7th Ave Se, Lacey, WA 98503-1062 | 2018-01-22 |
| 1477959047 | Camellia Tierney | Counselor | 8424 Queets Dr Ne, Lacey, WA 98516-5815 | 2014-11-10 |
| 1982976197 | Adelina Georgieva Dana | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2012-02-02 |
| 1417256512 | Holly Mcleod | Counselor | 612 Woodland Square Loop Se Ste 4, Lacey, WA 98503-1069 | 2011-03-15 |
| 1093976425 | Judith N Diodati-gleason | Counselor | 3425 Yorkshire Dr Se, Lacey, WA 98513-4265 | 2008-06-18 |
| 1235319310 | Sandra Elizabeth Dubois | Counselor | 418 Carpenter Rd Se, Lacey, WA 98503-7905 | 2007-11-06 |
| 1972114759 | Bruce A Louis | Counselor | 719 Sleater Kinney Rd Se Ste 212, Lacey, WA 98503-1138 | 2020-08-13 |
| 1689214280 | Kasey A Louis | Counselor | 719 Sleater Kinney Rd Se Ste 212, Lacey, WA 98503-1138 | 2020-01-10 |
| 1114568540 | Karen Lee Newman | Counselor | 4800 College St Se, Lacey, WA 98503-4389 | 2019-10-07 |
| 1134694953 | Jim Clark | Counselor | 612 Woodland Square Loop Se Ste 401, Lacey, WA 98503-1070 | 2018-10-08 |
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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.