INTEGRATED WISDOM THERAPY, PLLC (NPI# 1538784376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538784376 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WISDOM THERAPY, PLLC |
| Practice Address |
1313 N 27th Ct Renton WA 98056-1443 |
| Practice Telephone | 2068586095 |
| Mailing Telephone | 2068586095 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MS. JEANNE H WICOMB (OWNER/THERAPIST) |
| Authorized Official Telephone | 4258914807 |
| Authorized Official Credential | MA,LMFT,CEDS-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTEGRATED WISDOM THERAPY, PLLC | 1313 N 27th Ct, Renton, WA 98056-1443 |
| Street Address |
1313 N 27TH CT |
| City | RENTON |
| State | WA |
| Zip Code | 98056-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114264892 | Rhiannon Marie Brill | Counselor | 15150 140th Way Se, #s201, Renton, WA 98058-7834 | 2013-01-14 |
| 1447439690 | Jerry Eugene Green | Counselor | 15 S Grady Way Ste 310, Renton, WA 98057-3215 | 2007-10-24 |
| 1659584142 | Wendy Kincaide Ferreri | Counselor | 9806 S Carr Rd, Renton, WA 98055 | 2007-05-08 |
| 1467610444 | Karina L. Ray | Counselor | 401 Olympia Ave Ne, Suite 206, Renton, WA 98056-4117 | 2008-05-27 |
| 1508913716 | Valley Counseling Associates | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| 1497802607 | Carol Stanley | Counselor | 9806 Se Carr Rd, Renton, WA 98055-5813 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1073128906 | David Scott Clees | Counselor | 118 Mocliff Rd, Ephrata, WA 98823-1532 | 2020-09-08 |
| 1326663311 | Second Fruit Wellness Services LLC | Counselor | 2800 E Evergreen Blvd Ste B, Vancouver, WA 98661-4934 | 2020-06-15 |
| 1831711100 | Shannon E. Stauffer | Counselor | 2804 Grand Ave Ste 304, Everett, WA 98201-3586 | 2020-05-10 |
| 1457972390 | Mindy Alexander Counseling | Counselor | 5913 Maryhill Ln, Pasco, WA 99301-8766 | 2020-05-01 |
| 1376162537 | Northwest Sexual Counseling | Counselor | 1616 W Wellesley Ave Ste B, Spokane, WA 99205-1413 | 2020-04-08 |
| 1053940502 | Katherine Lizbeth Morris | Counselor | 101 W 8th Ave # 2e, Spokane, WA 99204-2307 | 2020-04-06 |
| 1164058145 | Brooke Ann Enriquez | Counselor | 3606 Main St Ste 202, Vancouver, WA 98663-2235 | 2020-03-21 |
| 1881224624 | Erin Reyes | Counselor | 750 George Washington Way Ste 8, Richland, WA 99352-4247 | 2020-01-21 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.