VANESSA D BACON (NPI# 1356679427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356679427 |
| Entity Type | Individual |
| Full Name | VANESSA D BACON |
| Practice Address |
2414 Sw Andover St Ste D120 Seattle WA 98106-1156 |
| Practice Telephone | 2069236300 |
| Mailing Telephone | 2069236300 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00003246 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2414 SW ANDOVER ST STE D120 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98106-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801384961 | Zoanne Nerissa Bateman | Behavioral Analyst | 2414 Sw Andover St Ste D120, Seattle, WA 98106-1156 | 2018-04-24 |
| 1861993222 | Lauren Ashley Smith | Behavioral Analyst | 2414 Sw Andover St Ste D120, Seattle, WA 98106-1156 | 2018-02-21 |
| 1326561937 | Jocelyn Smith | Behavioral Analyst | 2414 Sw Andover St Ste D120, Seattle, WA 98106-1156 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972062396 | Maria Rosario Rodriguez Nava | Marriage & Family Therapist | 4555 Deldrige Way S.w., Seattle, WA 98106 | 2019-03-15 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1093226094 | Marneil Bacelonia | Behavior Technician | 7145 18th Ave Sw, Seattle, WA 98106 | 2017-10-17 |
| 1124570106 | Lien Tran | Pharmacist | 4025 Delridge Way Sw, #400, Bartell Drugs, Seattle, WA 98106 | 2016-10-26 |
| 1326594078 | Alexander Caudle Lmp LLC | Massage Therapist | 3400 Harbor Ave Sw, Seattle, WA 98106 | 2016-08-31 |
| 1023438421 | Tabitha Zier | Massage Therapist | 9425 14th Ave Sw, Seattle, WA 98106 | 2014-04-24 |
| 1164864971 | William Castillo Jr. | Counselor | 1725 Roxbury Avenue Sw, Suite #5, Seattle, WA 98106 | 2013-07-22 |
| 1922373091 | Katie Marie Albinger | Massage Therapist | 5255 19th Avenue Southwest, Seattle, WA 98106 | 2012-03-21 |
| 1316220254 | Vui Thi Nguyen | Pharmacist | 9420 8th Ave Sw, Seattle, WA 98106 | 2011-09-27 |
| 1710296256 | Amanda Caitlin Preston | Dietitian, Registered | 4500 Delridge Way Sw #5, Seattle, WA 98106 | 2010-10-01 |
| Find all providers in zip 98106 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675147 | Tory B Gildred | Counselor | 4328 Baker Ave Nw, Seattle, WA 98107-4349 | 2020-09-28 |
| 1104437185 | The Daniel Clinic, Pllc | Counselor | 1406 Western Ave Apt 509, Seattle, WA 98101-2062 | 2020-08-12 |
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1255972063 | Ryan Wathne | Counselor | 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 | 2019-10-02 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1730743717 | Adrienne Renee Burrington | Counselor | 1811 Eastlake Ave E, Seattle, WA 98102-4171 | 2019-04-25 |
| 1578034971 | Charles Quinn | Counselor | 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 | 2018-12-10 |
| 1689144628 | Sarah Katherine Laing | Counselor | 1811 Eastlake Ave, Seattle, WA 98101-1403 | 2018-12-03 |
| 1629546932 | Lawrence Millard Watson | Counselor | 325 9th Ave # 359896, Seattle, WA 98104-2420 | 2018-11-05 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| Find all providers in SEATTLE | ||||
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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.