JAMES CARL MOELLER (NPI# 1417032459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417032459 |
| Entity Type | Individual |
| Full Name | JAMES CARL MOELLER |
| Credential | B.S. |
| Practice Address |
4600 Nw Harney St Vancouver WA 98663-1730 |
| Practice Telephone | 3606932864 |
| Mailing Telephone | 3606932864 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| 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) |
WA CP00002283 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457499972 | James Carl Moeller | Dentist | 5445 Southwyck Blvd, Suite 105, Toledo, OH 43614-1534 | 2007-02-05 |
| 1093797136 | James L Moeller | Family Medicine | 37000 Woodward Ave, Ste 300, Bloomfield Hills, MI 48304-0922 | 2005-11-15 |
| 1649266230 | James Stephen Moeller | Family Medicine | 1414 E. Tipton St, Seymour, IN 47274 | 2005-09-20 |
| 1679979504 | James Moeller | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2014-11-04 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| Street Address |
4600 NW HARNEY ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012332 | Beatriz Soto Martinez | Counselor | 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 | 2020-01-10 |
| 1871140350 | Anthony Douglas Dejesus | Counselor | 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655 | 2019-08-20 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1811460231 | Matthew Mcelveen | Counselor | 4000 Ne 94th St, Vancouver, WA 98665-5313 | 2019-01-08 |
| 1164910840 | Lucyann Kendall | Counselor | 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 | 2018-04-27 |
| 1609364413 | Amanda Boden | Counselor | 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 | 2018-04-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1922501998 | Carl Albert Robinson | Counselor | 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 | 2018-03-15 |
| 1891200531 | Craig Goold | Counselor | 18908 Se 23rd St, Vancouver, WA 98683-9793 | 2017-12-04 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in VANCOUVER | ||||
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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.