MENTAL BLISS, PLLC (NPI# 1487990180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487990180 |
| Entity Type | Organization |
| Organization Name | MENTAL BLISS, PLLC |
| Practice Address |
818 12th Ave Seattle WA 98122-4410 |
| Practice Telephone | 2063295255 |
| Practice Fax Number | 2066413231 |
| Mailing Telephone | 2063295255 |
| Mailing Fax Number | 2066413231 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. KELLY W BLISS (MEMBER) |
| Authorized Official Telephone | 2063295255 |
| Authorized Official Credential | DNP, ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007542 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MENTAL BLISS, PLLC | 509 Olive Way Ste 204, Seattle, WA 98101-1726 |
| Street Address |
818 12TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480816 | Howard Lundsten Leonard | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2005-10-12 |
| 1861850604 | Hackett Psychology, Pllc | Community/Behavioral Health | 818 12th Ave, Seattle, WA 98122-4410 | 2016-02-08 |
| 1114317591 | Katherine Alexa Scantlin | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2015-01-23 |
| 1700287422 | Associates In Behavioral Health | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2014-09-12 |
| 1417215872 | Amanda Beer | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2012-04-23 |
| 1194033845 | Angela Marie Davis | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2010-09-15 |
| 1982808309 | Kimberly Fern Balsam | Counselor | 818 12th Ave, Seattle, WA 98122-4410 | 2007-06-11 |
| 1750443396 | Timothy Jon Popanz | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2006-12-13 |
| 1427128867 | Erik R Jackson | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2006-11-09 |
| 1710057658 | Daphna Steier | Psychologist | 818 12th Ave, Seattle, WA 98122-4410 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1326668856 | Healing Heart Therapeutic Services | Nurse Practitioner | 1915 2nd Ave Apt 2212, Seattle, WA 98101-3165 | 2020-04-24 |
| 1588297444 | Rosalie Francesca Gammelgaard | Nurse Practitioner | 4106 Midvale Ave N, Seattle, WA 98103-7916 | 2020-02-19 |
| 1992343669 | Laurel Kristine Tronsen | Nurse Practitioner | 1959 Ne Pacific St # 104, Seattle, WA 98195-0001 | 2019-12-12 |
| 1043855471 | Mountain Peak Mental Health, Pllc | Nurse Practitioner | 155 Ne 100th St Ste 220, Seattle, WA 98125-8015 | 2019-11-08 |
| 1356907885 | Virtual Allied Remote Diagnostic and Clinical Services | Nurse Practitioner | 800 Fairview Ave N, Seattle, WA 98109-4412 | 2019-05-09 |
| 1003382763 | Shannon Troy Presler | Nurse Practitioner | 5941 California Ave Sw Apt 105, Seattle, WA 98136-1665 | 2018-10-21 |
| 1629550215 | Lance Edward Briggs | Nurse Practitioner | 5306 Ballard Ave Nw Ste 208, Seattle, WA 98107-4366 | 2018-08-30 |
| 1912400797 | Mackenzie Kampa | Nurse Practitioner | 505 Nw 60th St, Seattle, WA 98107-2143 | 2018-03-17 |
| 1265941975 | Rachel Jacks | Nurse Practitioner | 2428 Nw Market St Apt 410, Seattle, WA 98107-4171 | 2017-09-26 |
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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.