REGINA ANN SOMERVILLE


Address: 11910 Ne 154th St, Brush Prairie, WA 98606-9571
Phone: 3607509588

REGINA ANN SOMERVILLE (NPI# 1346898624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346898624
Entity Type Individual
Full Name REGINA ANN SOMERVILLE
Credential CDPT
Practice Address 11910 Ne 154th St
Brush Prairie
WA 98606-9571
Mailing Address 123 E 44th St
Vancouver
WA 98663-1829
Practice Telephone 3607509588
Practice Fax Number 3607509718
Mailing Telephone 3607734241
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CO60977634 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WA STATE LICENCE CO60977634 01

Office Location

Street Address 11910 NE 154TH ST
City BRUSH PRAIRIE
State WA
Zip Code 98606-9571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306851175 Daybreak Youth Services Clinic/Center 11910 Ne 154th St, Brush Prairie, WA 98606 2006-07-30
1700408697 Kimberly Ann Pierce Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2020-05-13
1215571872 Sally Ann Hart Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2019-11-06
1306311394 Katie Emily Moore Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2018-10-05
1295237717 Hayden William Babby Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2018-02-28
1811496839 Caitlin Leigh Steckler Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2018-02-05
1831615202 Rachel Goddard Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2017-08-17
1407250228 Erica L Linch Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2014-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801429311 Developmental Services and Care Respite Care 15800 Ne 183rd St., Brush Prairie, WA 98606 2020-02-13
1740685395 Lori Miller Speech-Language Pathologist 11104 Ne 149th Street, Brush Prairie, WA 98606 2014-10-24
1558765867 Stephanie Andreason Speech-Language Pathologist 11104 N.e. 149th Street, Battleground School District, Brush Prairie, WA 98606 2014-10-15
1982025789 Margaret Hall Speech-Language Pathologist 20000 Ne 154th St, Hockinson School District, Brush Prairie, WA 98606 2013-12-20
1386081313 Emily P Stewart Massage Therapist 10011 Ne 148th St, Brush Prairie, WA 98606 2013-05-31
1265688121 Viorica Muresan Custodial Care Facility 18716 Ne Davis Rd, Brush Prairie, WA 98606 2008-08-12
1184792483 Robert Mitsuo Baba Pharmacist 12115 Ne 149 Th. St. #943, Brush Prairie, WA 98606 2006-12-04
1992009914 Lynne Gropper-baum Case Manager/Care Coordinator 17208 Ne 125th Court, Battle Ground, WA 98606-0324 2011-01-05
1194252593 Cambria Mccallum Specialist/Technologist 12105 Ne 121st St, Brush Prairie, WA 98606-2105 2017-05-16
1578955910 Esateys Stuchiner Nurse Practitioner 19410 Ne 116th St, Brush Prairie, WA 98606-3002 2015-02-23
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700408697 Kimberly Ann Pierce Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2020-05-13
1215571872 Sally Ann Hart Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2019-11-06
1306311394 Katie Emily Moore Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2018-10-05
1295237717 Hayden William Babby Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2018-02-28
1831615202 Rachel Goddard Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2017-08-17
1407250228 Erica L Linch Counselor 11910 Ne 154th St, Brush Prairie, WA 98606-9571 2014-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508467564 Summit Health Management Pllc Counselor 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 2020-11-05
1013517952 Maria Escobedo Counselor 1321 N. Ash, Spokane, WA 99201 2020-10-29
1457951311 Jonathan B Hall Counselor 1107 Grant Ave, Port Angeles, WA 98362-2728 2020-10-29
1598365595 Deepeka Taya Counselor 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 2020-10-28
1447850904 Bethany Baril Counselor 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 2020-10-26
1588263032 Mark Alan Jewett Counselor 528 208th Ave Ne, Sammamish, WA 98074-6936 2020-10-25
1184223869 Season Silk Counselor 523 Rainier St, La Conner, WA 98257-4707 2020-10-22
1366041048 Shawna Lynn Mokler Counselor 841 Central Ave N Ste 215, Kent, WA 98032-2014 2020-10-22
1548868276 Mind Over Matters, Pllc Counselor 2525 55th Ave Ne, Tacoma, WA 98422-3404 2020-10-14
1770180200 Arika Wydur Counselor 23912 27th Ave Ne, Arlington, WA 98223-7629 2020-10-07
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Competitor

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City BRUSH PRAIRIE
Zip Code 98606

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Dataset Information

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.

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