KELLY CLEANNE HERNANDEZ (NPI# 1346588175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346588175 |
| Entity Type | Individual |
| Full Name | KELLY CLEANNE HERNANDEZ |
| Practice Address |
811 Madison St Everett WA 98203-4543 |
| Mailing Address |
Po Box 2569 Everett WA 98213-0569 |
| Practice Telephone | 4252124200 |
| Practice Fax Number | 4252124241 |
| Mailing Telephone | 4252124200 |
| Mailing Fax Number | 4252124241 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048666 | Kelly Vanessa Hernandez Jr. | Technician | 4709 Cherry Hill Rd, College Park, MD 20740-1329 | 2020-06-19 |
| 1457509820 | Kelly Hernandez | Early Intervention Provider Agency | 40 Quaker Lake Ter, Orchard Park, NY 14127-2826 | 2008-08-28 |
| 1760663181 | Kelly Lee Hernandez | Chiropractor | 2618 Electronic Ln, 102, Dallas, TX 75220-1216 | 2007-11-15 |
| 1023618261 | Kelly Hernandez | Family Medicine | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2020-10-27 |
| 1235694175 | Kelly Hernandez | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-02-05 |
| 1174930549 | Kelly Hernandez | Dental Hygienist | 2998 Ginnala Dr, Suite 101, Loveland, CO 80538-7819 | 2014-07-17 |
| 1164707956 | Kelly Hernandez | Case Manager/Care Coordinator | 8755 Aero Dr, San Diego, CA 92123-1776 | 2011-10-12 |
| 1528381696 | Kelly S. Hernandez | Marriage & Family Therapist | 1660 Humboldt Rd Ste 3, Chico, CA 95928-9199 | 2010-03-03 |
| 1285963363 | Kelly N. Hernandez | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2009-12-18 |
| 1912196890 | Kelly Hernandez | Registered Nurse | 701 E Davis St, Ste A, Conroe, TX 77301-3099 | 2007-10-17 |
| Street Address |
811 MADISON ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140985 | Sondra Lee Laverne | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2006-06-09 |
| 1891394623 | Raymond Francis Lacko Jr. | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-22 |
| 1356940480 | Dennis R Phillips | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-20 |
| 1285243956 | Lauran Elizabeth Tapp | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-28 |
| 1154930147 | Alexa T Nachreiner | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-27 |
| 1134738222 | Jonathan Thomas Wallis | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-24 |
| 1659998417 | Corilynne Woods | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-28 |
| 1942825781 | Lauren F Wilson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-08 |
| 1669096913 | Meghan Irene Rose White | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-02 |
| 1285257790 | Susan Sarrazin | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
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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 |
|---|---|---|---|---|
| 1801493960 | Velles Counseling Services LLC | Counselor | 2209 Rockefeller Ave, Everett, WA 98201-2841 | 2020-10-02 |
| 1548872435 | Beatrice B Boisvert | Counselor | 9 Oakland Ave, Everett, MA 02149-3917 | 2020-08-20 |
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1053943159 | Maricela Barrios Martinez | Counselor | 2722 Colby Ave Ste 10, Everett, WA 98201-3557 | 2020-02-06 |
| 1760024350 | Shauna Meadors | Counselor | 4526 Federal Ave # 42, Everett, WA 98203-2132 | 2019-10-15 |
| 1932757879 | Brianne Rokey | Counselor | 1721 Hewitt Ave Ste 511, Everett, WA 98201-3546 | 2019-09-03 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1548752512 | Katrina Kyrene King | Counselor | 3322 Broadway # Level1na, Everett, WA 98201-4425 | 2018-06-05 |
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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.