MRS. STACY A FENNELL (NPI# 1538377817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538377817 |
| Entity Type | Individual |
| Full Name | MRS. STACY A FENNELL |
| Credential | LMFT |
| Practice Address |
1920 100th St Se Ste A2 Everett WA 98208-3832 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 4253120277 |
| Mailing Telephone | 2067643335 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T0529 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114035805 | Stacy Fennell | Physical Therapist | 1131 W Arbrook Blvd, Arlington, TX 76015-4206 | 2006-08-25 |
| 1477846582 | Stacy Lynn Fennell | General Practice | 3851 Roger Brooke Dr, Mche-emr, Fort Sam Houston, TX 78234-4501 | 2011-05-23 |
| Street Address |
1920 100TH ST SE STE A2 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902001 | Edith Armendariz | Counselor | 1920 100th St Se Ste A2, Everett, WA 98208-3832 | 2018-12-04 |
| 1346761749 | Angela Justine Brazier | Counselor | 1920 100th St Se Ste A2, Everett, WA 98208-3832 | 2017-07-06 |
| 1457807331 | Ginger Michel | Counselor | 1920 100th St Se Ste A2, Everett, WA 98208-3832 | 2016-08-30 |
| 1548409881 | Cami Lynn Kaltbrunner | Marriage & Family Therapist | 1920 100th St Se Ste A2, Everett, WA 98208-3832 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1790394823 | Shazia Shafaat | Marriage & Family Therapist | 13811 56th Dr Se, Everett, WA 98208-9464 | 2020-07-24 |
| 1992254908 | Northwest Psychological Consulting, LLC | Marriage & Family Therapist | 2722 Colby Ave Ste 720, Everett, WA 98201-3535 | 2016-10-03 |
| 1669831160 | Hee-sun Cheon | Marriage & Family Therapist | 1227 128th St Se, Everett, WA 98208-6555 | 2016-02-12 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1528467180 | Kira Love Flores | Marriage & Family Therapist | 1723 100th Pl Se Ste E, Everett, WA 98208-3800 | 2014-08-20 |
| 1497905491 | Kellie A. Preston | Marriage & Family Therapist | 5428 138th Pl Se, Everett, WA 98208-9445 | 2008-09-25 |
| 1215107594 | Amber Alison Rice | Marriage & Family Therapist | 2804 Grand Ave Ste 306, Everett, WA 98201-3586 | 2008-03-03 |
| 1417166869 | Marsha A Jones | Marriage & Family Therapist | 6320 Evergreen Way Ste 201, Everett, WA 98203 | 2007-05-22 |
| 1457426330 | Vivian L Carraway | Marriage & Family Therapist | 1902 120th Pl Se Ste 104, Everett, WA 98208-6292 | 2006-11-23 |
| 1235231036 | Betsy C Schildt | Marriage & Family Therapist | 2722 Colby Ave Ste 725, Everett, WA 98201-3578 | 2006-09-02 |
| Find all providers in EVERETT | ||||
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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.