MS. MELISSA JESE CZICHAS (NPI# 1538678677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538678677 |
| Entity Type | Individual |
| Full Name | MS. MELISSA JESE CZICHAS |
| Credential | MA, LMFT, CDPT |
| Practice Address |
711 State Ave Ne Olympia WA 98506-3984 |
| Mailing Address |
830 Phoenix St Ne Olympia WA 98506-4858 |
| Practice Telephone | (360) 943-0780 |
| Practice Fax Number | 3609430780 |
| Mailing Telephone | 3607894837 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LF60892352 | WA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CO60855498 | WA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 418 Carpenter Rd Ne, Suite 104, Lacey, WA 98503 | 3607894837 | 3608904099 |
| Street Address |
711 STATE AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083943187 | Tricia Anne Wiltse | Counselor | 711 State Ave Ne, Olympia, WA 98506 | 2009-12-18 |
| 1215541842 | Gaylene Venida | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-09-01 |
| 1508479817 | Alysia Day | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-26 |
| 1477165579 | Bonnie Joe Connolly | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-19 |
| 1326650565 | Tiffany Riggs | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-19 |
| 1336758465 | Kendall Leigh Williams | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-07-24 |
| 1417575705 | Thithien Nguyen | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-07-13 |
| 1306462429 | Karla Y Cota | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-06-24 |
| 1164044301 | Sarah E Moore | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-05-11 |
| 1124649835 | Amelia O'neil-hughes | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1548798408 | Lisa Strange | Marriage & Family Therapist | 203 4th Ave E Ste 217, Olympia, WA 98501-1187 | 2017-05-23 |
| 1447608039 | Shanna Lyn Fletcher | Marriage & Family Therapist | 324 West Bay Dr Nw, Suite 212a, Olympia, WA 98502-4926 | 2016-05-24 |
| 1598188336 | Lisa Reed | Marriage & Family Therapist | 2635 Parkmont Ln Sw, Ste E2, Olympia, WA 98502 | 2014-01-30 |
| 1396004503 | David Simonsen | Marriage & Family Therapist | 1800 Cooper Point Rd Sw Ste 20b, Olympia, WA 98502-1039 | 2012-05-08 |
| 1447527221 | Leticia Nieto | Marriage & Family Therapist | 1004 Wilson St Se, Olympia, WA 98501-1959 | 2011-11-22 |
| 1831428135 | Lauren Dorothy Farmer | Marriage & Family Therapist | 3859 Martin Way E Ste 102, Olympia, WA 98506-5268 | 2009-12-15 |
| 1962683854 | Dawn Eileen Stremel | Marriage & Family Therapist | 208 Rogers St Nw, Suite C, Olympia, WA 98502-4940 | 2007-11-19 |
| 1669653549 | Eric Currier | Marriage & Family Therapist | 1809 Wilson St Se, Olympia, WA 98501-3063 | 2007-11-19 |
| 1104015452 | Monica Orona Olivas | Marriage & Family Therapist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2007-10-22 |
| 1689863151 | Diane Geneva Hudson | Marriage & Family Therapist | 1111 Archwood Dr Sw, #366, Olympia, WA 98502-5641 | 2007-10-19 |
| Find all providers in OLYMPIA | ||||
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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.