KATHRYN BERRY (NPI# 1548623317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548623317 |
| Entity Type | Individual |
| Full Name | KATHRYN BERRY |
| Credential | 60493171 |
| Practice Address |
3810 196th St Sw Ste 11 Lynnwood WA 98036-5746 |
| Mailing Address |
Po Box 12598 Everett WA 98206-2598 |
| Practice Telephone | 4252484900 |
| Practice Fax Number | 4252484703 |
| Mailing Telephone | 4252484900 |
| Mailing Fax Number | 4252484703 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225677966 | Kathryn Elizabeth Berry | Nurse Anesthetist, Certified Registered | 3705 Medical Pkwy Ste 570, Austin, TX 78705-1024 | 2019-12-28 |
| 1063929198 | Kathryn Berry | Social Worker | 1001 Rohlwing Rd, Elk Grove Vlg, IL 60007-3217 | 2018-01-10 |
| 1659822336 | Kathryn L Berry | Physical Therapist | 360 Laboratory Rd, Greenfield of Oak Ridge, Oak Ridge, TN 37830-6911 | 2016-10-18 |
| 1205287463 | Kathryn Berry | Physical Therapy Assistant | 1430 E 4500 S, Slc, UT 84117-4208 | 2016-06-28 |
| Street Address |
3810 196TH ST SW STE 11 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790147445 | Gail Patricia Sauer | Counselor | 3810 196th St Sw Ste 11, Lynnwood, WA 98036-5746 | 2016-03-22 |
| 1063960656 | Scott Johnson | Counselor | 3810 196th St Sw Ste 11, Lynnwood, WA 98036-5746 | 2016-09-13 |
| 1295197333 | Lawrence Graham Buckley Jr. | Counselor | 3810 196th St Sw Ste 11, Lynnwood, WA 98036-5746 | 2016-03-28 |
| 1013379510 | Richard Johnson | Counselor | 3810 196th St Sw Ste 11, Lynnwood, WA 98036-5746 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891250312 | Aleeta Yvonne Durr | Counselor | 20508 56th Ave W # 101, Lynnwood, WA 98036-7650 | 2019-02-08 |
| 1063932515 | Susan M Boege | Counselor | 4232 198th St Sw, Lynnwood, WA 98036-6747 | 2017-06-26 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1033654827 | Danielle Florence Honanie | Counselor | 3910 188th St Sw, Lynnwood, WA 98037-7633 | 2017-01-03 |
| 1790147445 | Gail Patricia Sauer | Counselor | 3810 196th St Sw Ste 11, Lynnwood, WA 98036-5746 | 2016-03-22 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1881818938 | Allison Frink | Counselor | 18631 Alderwood Mall Pkwy Ste 102, Lynnwood, WA 98037-8011 | 2007-04-12 |
| 1326172719 | La Esperanza Health Counseling Services | Counselor | 19909 64th Ave W, Lynnwood, WA 98036-4589 | 2007-03-15 |
| 1689272403 | Suzette Harvey | Counselor | 20508 56th Ave W, Lynnwood, WA 98036-7650 | 2020-10-14 |
| 1295343085 | Steven Scott Petitte | Counselor | 5116 196th St Sw, Lynnwood, WA 98036-6148 | 2020-07-17 |
| Find all providers in LYNNWOOD | ||||
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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.