MISS JOHANNA NICOLE BOYD (NPI# 1417106717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417106717 |
| Entity Type | Individual |
| Full Name | MISS JOHANNA NICOLE BOYD |
| Credential | M.A. |
| Practice Address |
102 23rd Ave Se Puyallup WA 98372-4501 |
| Mailing Address |
4227 S Meridian Ste C223 Puyallup WA 98373-3603 |
| Practice Telephone | 2533657290 |
| Practice Fax Number | 2539877223 |
| Mailing Telephone | 2533657290 |
| Mailing Fax Number | 2539877223 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60247677 | WA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MG60117140 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2140045 | 05 | |
| GROUP NPI | 1447811419 | 01 |
| Street Address |
102 23RD AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144542 | Nancy S Karr | Internal Medicine | 102 23rd Ave Se, Ste A, Puyallup, WA 98372-4527 | 2005-06-15 |
| 1144749656 | Natural Life Integrative Health | Clinic/Center | 102 23rd Ave Se, Puyallup, WA 98372-4501 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1275017014 | Siara Victorian | Marriage & Family Therapist | 12511 Meridian E Ste 201, Puyallup, WA 98373-3425 | 2018-09-18 |
| 1427557610 | Sunrise Family Therapy | Marriage & Family Therapist | 3911 9th St Sw # A211-212, Puyallup, WA 98373-5946 | 2018-02-02 |
| 1659821478 | Bridget St John | Marriage & Family Therapist | 105b W Main Ste 115, Puyallup, WA 98371-5329 | 2016-10-04 |
| 1730521238 | Whitney Reehm | Marriage & Family Therapist | 437 29th St Ne Ste F, Puyallup, WA 98372 | 2013-07-24 |
| 1982045217 | Ireri Kang | Marriage & Family Therapist | 1011 E Main Ste 103, Puyallup, WA 98372-6768 | 2013-07-15 |
| 1134461288 | Gretchen Justine Stockman | Marriage & Family Therapist | 12515 Meridian E Ste 203, Puyallup, WA 98373-3436 | 2013-03-26 |
| 1366750432 | Shawnda L Brese | Marriage & Family Therapist | 601 Valley Ave Ne, Suite F, Puyallup, WA 98372-2530 | 2010-09-22 |
| 1952616740 | Connie Sue Mcdonald | Marriage & Family Therapist | 3806 9th St Sw Ste F, Puyallup, WA 98373-3687 | 2010-08-17 |
| 1053642967 | Sarah Atchison | Marriage & Family Therapist | 6726 131st St E, Puyallup, WA 98373-6314 | 2010-01-18 |
| Find all providers in PUYALLUP | ||||
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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.