MR. GLEN P. MERRIWETHER (NPI# 1386815256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386815256 |
| Entity Type | Individual |
| Full Name | MR. GLEN P. MERRIWETHER |
| Credential | MA, LMHC, CDP |
| Practice Address |
40 Lake Bellevue Dr Suite 100 Bellevue WA 98005-2479 |
| Practice Telephone | 4256411999 |
| Practice Fax Number | 4256414069 |
| Mailing Telephone | 4256411999 |
| Mailing Fax Number | 4256414069 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00003052 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00006263 | WA | Behavioral Health & Social Service Providers |
| Street Address |
40 LAKE BELLEVUE DR SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295769982 | David Wayne Adamson | Counselor | 40 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2479 | 2006-07-10 |
| 1477009199 | Colleen Hilton, Lmft, Pllc | Community/Behavioral Health | 40 Lake Bellevue Dr, 100, Bellevue, WA 98005-2480 | 2016-09-01 |
| 1043765522 | Audrey Rosenfeld,pllc | Social Worker | 40 Lake Bellevue Dr, #100, Bellevue, WA 98005-2479 | 2016-08-24 |
| 1861871394 | Karen Moore | Social Worker | 40 Lake Bellevue Dr, Suite 250, Bellevue, WA 98005-2479 | 2015-05-29 |
| 1609255868 | Sally Chung | Psychologist | 40 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2479 | 2015-05-21 |
| 1992128029 | Carolyn Ratley | Marriage & Family Therapist | 40 Lake Bellevue Dr, Suite 330, Bellevue, WA 98005-2479 | 2014-01-24 |
| 1083058796 | Michael Lombard | Marriage & Family Therapist | 40 Lake Bellevue Dr, Suite 100, Bellevue, WA 98005-2479 | 2013-04-24 |
| 1790934552 | Dennyse Stanford | Psychologist | 40 Lake Bellevue Dr, Suite 250, Bellevue, WA 98005-2479 | 2008-09-16 |
| 1588828347 | Susanna Nell Kanther-raz | Psychologist | 40 Lake Bellevue Dr, Suite 250, Bellevue, WA 98005-2479 | 2008-07-10 |
| 1932370665 | Carolyn Edith Dion | Counselor | 40 Lake Bellevue Dr, Suite 250, Bellevue, WA 98005-2479 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1043834005 | All Communities Outreach Services | Counselor | 112 E Mission Avenue, Bellevue, NE 68005-5023 | 2020-06-04 |
| 1225659832 | Am Counseling and Consulting | Counselor | 207 Galvin Rd N, Bellevue, NE 68005-4898 | 2020-05-05 |
| 1225699226 | Lloyd Emsley Shattuck | Counselor | 13037 Ne Bel Red Rd Ste 102a, Bellevue, WA 98005-2651 | 2019-06-21 |
| 1013577568 | Darren Barry | Counselor | 13037 Ne Bel Red Rd, Bellevue, WA 98005-2618 | 2019-06-17 |
| 1831665330 | Maria Francisca Cardoso | Counselor | 14225 Se 4th St Apt B, Bellevue, WA 98007-6627 | 2018-10-23 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1649728379 | Genereux Counseling Services LLC | Counselor | 1508 J F Kennedy Dr, Suite 106, Bellevue, NE 68005-3727 | 2016-09-11 |
| 1144675976 | Nicolette Stenger | Counselor | 12835 Bel Red Rd Ste 145, Bellevue, WA 98005-2625 | 2016-04-29 |
| 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.