JODY MARIE RICHTER (NPI# 1497399398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497399398 |
| Entity Type | Individual |
| Full Name | JODY MARIE RICHTER |
| Credential | LMHA |
| Practice Address |
351 Three Rivers Dr Ste 49 Kelso WA 98626-3129 |
| Mailing Address |
1965 Westside Hwy Unit 114 Kelso WA 98626-5903 |
| Practice Telephone | 3609012763 |
| Mailing Telephone | 3609012763 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60981966 | WA | Behavioral Health & Social Service Providers |
| Street Address |
351 THREE RIVERS DR STE 49 |
| City | KELSO |
| State | WA |
| Zip Code | 98626-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1033468822 | Rene Kerry Bohannon-oxford | Counselor | 2707 Pacific Ave North, Kelso, WA 98626 | 2012-09-07 |
| 1447535737 | Nichole Kathleen Allee | Massage Therapist | 109 Nw 1st St., Kelso, WA 98626 | 2011-10-18 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
| 1942318829 | Imholte & Anderson Pllc | Dentist | 409 West Main Street, Kelso, WA 98626 | 2006-08-29 |
| 1922088723 | James Bevan Hollingsworth | Pharmacist | 204 S Pacific Ave, Kelso, WA 98626 | 2006-01-18 |
| 1972021087 | Adreia Jenice Jessop | Registered Nurse | 300 Oak St, Kelso, WA 98626 | 2017-09-08 |
| 1023567310 | Charlene Han | Pharmacist | 205 Three Rivers Dr, Kelso, WA 98626 | 2016-09-27 |
| Find all providers in zip 98626 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656721 | Angelee Amber Berrian | Counselor | 305 Pacific Ave N, Suite 102, Kelso, WA 98626-3417 | 2020-07-10 |
| 1104301225 | Amy Lomax | Counselor | 214 Pacific Ave N, Kelso, WA 98626-3414 | 2018-09-25 |
| 1053828996 | Jessica Lynne Meyer | Counselor | 4 Stone Hill Dr, Kelso, TN 37348-1000 | 2018-01-01 |
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1811188972 | Melissa Heilman | Counselor | 1005 N 4th Ave, Kelso, WA 98626-4229 | 2007-08-05 |
| 1932718517 | Selah Sheba Mitchell | Counselor | 305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 | 2020-07-29 |
| 1275155889 | Sophia Kate Coletti | Counselor | 305 Pacific Ave S, Kelso, WA 98626-1638 | 2020-05-18 |
| 1881245579 | Joey Adam Wardell | Counselor | 404 W Main St, Kelso, WA 98626-1118 | 2019-09-24 |
| 1982140893 | Mary Kathleen Sullivan | Counselor | 309 Oak St, Kelso, WA 98626-2340 | 2017-01-16 |
| Find all providers in KELSO | ||||
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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.