ZACH JOHN CARLSON SR. (NPI# 1285285098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285285098 |
| Entity Type | Individual |
| Full Name | ZACH JOHN CARLSON SR. |
| Practice Address |
14270 Ne 21st St Bellevue WA 98007-3720 |
| Mailing Address |
6400 Southcenter Blvd Tukwila WA 98188-2547 |
| Practice Telephone | 4256535010 |
| Mailing Telephone | 2069012000 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942387 | Zach Carlson | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2019-03-20 |
| Street Address |
14270 NE 21ST ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922155183 | Breanna Martine Jeffries | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2007-01-03 |
| 1497352678 | Shelena Yarukhina | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-01 |
| 1447857628 | Robin R Wilson | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-01 |
| 1043817224 | Megan E Mabel | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-01 |
| 1679187553 | Hailee R Windsor | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-09-08 |
| 1881203180 | Jacob F Sapp | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-07-23 |
| 1952929622 | Shawnna M Robinson | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-07-09 |
| 1679196059 | Issaree Vajeavorasith | Counselor | 14270 Ne 21st St, Bellevue, WA 98007 | 2020-05-20 |
| 1689295875 | Erika Parker | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-04-29 |
| 1023639218 | Michelle Krause | Counselor | 14270 Ne 21st St, Bellevue, WA 98007-3720 | 2020-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
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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 |
|---|---|---|---|---|
| 1346854148 | Justin Darrell Preston Jones | Counselor | 205 169th Ave Ne, Bellevue, WA 98008-4523 | 2020-08-31 |
| 1114530854 | Ju-pei Yao | Counselor | 10047 Main St Apt 514, Bellevue, WA 98004-5319 | 2020-08-24 |
| 1912529371 | Kristina Pass | Counselor | 14933 Se 45th Pl, Bellevue, WA 98006-2402 | 2020-05-08 |
| 1124640644 | Amy Rose Korotkin | Counselor | 4205 94th Ave Ne, Bellevue, WA 98004-1317 | 2020-05-07 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1386292944 | Trinidad Soza | Counselor | 999 164th Ave Ne # 5862338, Bellevue, WA 98008-3518 | 2019-08-27 |
| 1083197776 | Erich Flaker | Counselor | 13343 Ne Bel Red Rd, Bellevue, WA 98005-2274 | 2018-09-10 |
| 1063960292 | Paul Oguna Ajuoga | Counselor | 202 Galvin Rd N Apt 5, Bellevue, NE 68005-4840 | 2016-09-16 |
| 1902296528 | Alex Gomez | Counselor | 826 102nd Ave Ne Ste 300, Bellevue, WA 98004-4158 | 2015-02-03 |
| 1447651104 | Keunhee (casey) Kim | Counselor | 13400 Ne 20th St Ste B-47, Bellevue, WA 98005-2099 | 2014-09-11 |
| Find all providers in BELLEVUE | ||||
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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.