MR. WILLIAM W JAECKEL (NPI# 1538450309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538450309 |
Entity Type | Individual |
Full Name | MR. WILLIAM W JAECKEL |
Credential | MA, LMHCA |
Practice Address |
403 E Meeker St Kent WA 98030-5904 |
Practice Telephone | 2538524504 |
Practice Fax Number | 2538523665 |
Mailing Telephone | 2538524504 |
Mailing Fax Number | 2538523665 |
Enumeration Date | 2011-04-27 |
Last Update Date | 2011-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC60197685 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WA STATE DEPT OF HEALTH | MC60197685 | 01 |
Street Address |
403 E MEEKER ST |
City | KENT |
State | WA |
Zip Code | 98030-5904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831199454 | Healthpoint | Acupuncturist | 403 E Meeker St, Ste 200, Kent, WA 98030-5904 | 2005-07-26 |
1639792757 | Alison Bailey Shely | Nurse Practitioner | 403 E Meeker St, Kent, WA 98030-5904 | 2020-05-22 |
1194275768 | Lisa Katherine Gray | Counselor | 403 E Meeker St, Kent, WA 98030-5904 | 2016-10-07 |
1831564053 | Robert Allred | Psychologist | 403 E Meeker St, Suite 200, Kent, WA 98030-5904 | 2015-12-14 |
1376912451 | Orly Ninyo | Nurse Practitioner | 403 E Meeker St, Kent, WA 98030-5904 | 2015-09-18 |
1063899979 | Jeannie Le | Family Medicine | 403 E Meeker St, Kent, WA 98030 | 2015-04-29 |
1003232794 | Cindy Chon | Nurse Practitioner | 403 E Meeker St, Kent, WA 98030-5904 | 2014-03-05 |
1730437252 | Sara Rose Mcelroy | Pharmacist | 403 E Meeker St, Suite 200, Kent, WA 98030-5904 | 2012-08-15 |
1194072876 | Gayoung Hong | Family Medicine | 403 E Meeker St, Kent, WA 98030-5904 | 2012-08-13 |
1689963191 | Healthpoint | Community/Behavioral Health | 403 E Meeker St, Suite 200, Kent, WA 98030-5904 | 2011-04-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
Find all providers in zip 98030 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497353668 | Cynthia Njoki Wanjohi | Counselor | 14641 Se 276th Pl, Kent, WA 98042-9130 | 2020-10-11 |
1487277984 | Bonnie Harvey | Counselor | 24216 138th Ave Se, Kent, WA 98042-5186 | 2020-05-19 |
1831756238 | Marc Kedar Mueller | Counselor | 1621 Central Ave S Ste Q, Kent, WA 98032-7452 | 2019-05-22 |
1972060119 | Allyssa Gabrielle Dziurlaj | Counselor | 135 E Erie St Ste 304, Kent, OH 44240-3599 | 2019-02-25 |
1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
1841764966 | Amanda Mcdonald | Counselor | 4189 Whitestone Rd, Kent, OH 44240-6885 | 2019-01-12 |
1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
1821573528 | Cheryl L Fracasso | Counselor | 25722 135th Ave Se, Kent, WA 98042-3506 | 2018-09-27 |
1861999617 | Middle Path Counseling Services LLC | Counselor | 175 E Erie St Ste 304, Kent, OH 44240-3595 | 2018-04-09 |
1306353123 | Persephone Johansson | Counselor | 615 W Titus St Ste 103, Kent, WA 98032-5749 | 2018-01-02 |
Find all providers in KENT |
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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.