TRENT EISENBEISZ (NPI# 1295205607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295205607 |
| Entity Type | Individual |
| Full Name | TRENT EISENBEISZ |
| Credential | LICSW |
| Practice Address |
2732 Grand Ave Everett WA 98201-3416 |
| Practice Telephone | 4252595842 |
| Mailing Telephone | 4252590243 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60275753 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2732 Grand Ave, Everett, WA 982013416 | 4252595842 | |
| 3322 Broadway, Everett, WA 982014425 | 3604805996 |
| Street Address |
2732 GRAND AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851670533 | Kimberly A Aurand | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2011-08-11 |
| 1467087163 | Patricia Trama | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2020-03-03 |
| 1285265520 | Philip Aaron O'connell | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2020-01-27 |
| 1932747953 | Julia Francine Hahn | Student in an Organized Health Care Education/Training Program | 2732 Grand Ave, Everett, WA 98201-3416 | 2019-12-20 |
| 1750853057 | Kathleen Ann Mehl | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-12-26 |
| 1194296335 | Zanette Rochelle Fouche | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-12-16 |
| 1790269447 | Nicole Linale Rundle | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-09-19 |
| 1659850022 | Richard George Beatty | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-08-07 |
| 1497258479 | Ashley Mcquown | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-03-15 |
| 1023526555 | Angela Denise Wisniewski | Counselor | 2732 Grand Ave, Everett, WA 98201-3416 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664172 | Deidre Michelle Greene | Counselor | 13105 21st Dr Se Apt E307, Everett, WA 98208-7173 | 2019-11-25 |
| 1356859623 | Victor Cleveland | Counselor | 10315 19th Ave Se Ste 112, Everett, WA 98208-4268 | 2018-01-19 |
| 1386155893 | Kristin Zarrello | Counselor | 11008 20th Dr Se, Everett, WA 98208-5241 | 2017-10-24 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1619401973 | David Alexander | Counselor | 10905 3rd Ave Se, Everett, WA 98208-7020 | 2017-04-13 |
| 1982152955 | Adekunbi Afusat Olukoya | Counselor | 8625 Evergreen Way Ste 108, Everett, WA 98208-2647 | 2016-09-19 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1891157798 | Pamela Hubbard | Counselor | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2016-03-22 |
| 1881052280 | Jolene Eva Janacek | Counselor | 1811 Mcdougall Ave, Everett, WA 98201-2456 | 2016-02-01 |
| Find all providers in EVERETT | ||||
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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.