SCOTT HEREFORD (NPI# 1497805667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497805667 |
| Entity Type | Individual |
| Full Name | SCOTT HEREFORD |
| Practice Address |
707 N Pearl St Ste E Ellensburg WA 98926-2938 |
| Mailing Address |
Po Box 959 Yakima WA 98907-0959 |
| Practice Telephone | 5099257507 |
| Mailing Telephone | 5095754084 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00011187 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RC00044365 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8529661 | 05 |
| Street Address |
707 N PEARL ST STE E |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423239 | Jonathon Seaborn | Counselor | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2018-07-13 |
| 1871025775 | Megan Eastlick | Counselor | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2017-03-30 |
| 1053776146 | Bjorn Dale | Counselor | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2015-12-16 |
| 1619282092 | Annalisa Weiler Brunk | Social Worker | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911735 | Laura S Garcia | Counselor | 603 N Anderson St, Ellensburg, WA 98926-3148 | 2020-10-30 |
| 1881089431 | Amy Cromer | Counselor | 716 E 3rd Ave Apt 2, Ellensburg, WA 98926-3482 | 2015-03-31 |
| 1265823025 | Ryder Defranco | Counselor | 4311 Umptanum Rd, Ellensburg, WA 98926-8749 | 2015-02-13 |
| 1689071904 | Ilina Renkema | Counselor | 1207 N Tanglewood Ct, Ellensburg, WA 98926-5185 | 2014-12-02 |
| 1396185914 | Nancy Eileen Doolittle | Counselor | 4461 Umptanum Rd, Ellensburg, WA 98926-6630 | 2013-06-27 |
| 1548512676 | Jennifer J Lubanski | Counselor | 105 W 5th Ave Ste 104, Ellensburg, WA 98926-3178 | 2012-10-13 |
| 1639457013 | Darci Miland | Counselor | 120 Tjossem Rd, Ellensburg, WA 98926-9802 | 2011-08-02 |
| 1740412014 | Jennifer A Pariseau | Counselor | 300 N Pearl St Ste 201, Ellensburg, WA 98926-4003 | 2009-08-19 |
| 1326275355 | Michelle Broweleit | Counselor | 415 E Mtn View Ave, Ste 301, Ellensburg, WA 98926-5802 | 2009-06-17 |
| 1063658326 | Lawrence Matthew Deats | Counselor | 705 S Maple St, Ellensburg, WA 98926-3910 | 2008-12-16 |
| Find all providers in ELLENSBURG | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on SCOTT HEREFORD.
| 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.