THERESA HICKS INC PS (NPI# 1568513422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568513422 |
| Entity Type | Organization |
| Organization Name | THERESA HICKS INC PS |
| Other Organization Name | THERESA HICKS DBA NORTHWEST STRESS MANAGEMENT |
| Practice Address |
504 N 40th Ave Yakima WA 98908-4311 |
| Practice Telephone | 5099658041 |
| Practice Fax Number | 5099663283 |
| Mailing Telephone | 5099658041 |
| Mailing Fax Number | 5099663283 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THERESA W HICKS (PRESIDENT) |
| Authorized Official Telephone | 5094696823 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Theresa Hicks DBA Northwest Stress Management | Former Legal Business Name - Organization |
| Street Address |
504 N 40TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289883 | Debra M Gould | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2005-07-20 |
| 1245687862 | Irene Varghese | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2016-05-24 |
| 1487023776 | Vivian Orthmann | Nurse Practitioner | 504 N 40th Ave, Yakima, WA 98908-4311 | 2015-09-17 |
| 1821485020 | Kial Lynne Wiley | Family Medicine | 504 N 40th Ave, Yakima, WA 98908 | 2015-04-25 |
| 1134441231 | Memorial Physicians, P.l.l.c. | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2010-02-17 |
| 1730321522 | Memorial Practice Management, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2009-03-25 |
| 1265604094 | Medical Associates of Yakima, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2008-04-01 |
| 1811177314 | Yakima Valley Professional Services, PC | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1275713778 | Memorial Physicians, Pllc | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1083638001 | Jeffrey S Kaplan | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1609354257 | Benjamin Shafar | Counselor | 111 N Front St, Yakima, WA 98901-2638 | 2018-08-04 |
| 1093231664 | Patricia Parker | Counselor | 208 S 37th Ave, Yakima, WA 98902-3606 | 2017-08-16 |
| 1235655820 | Lisa Suzette Knutson | Counselor | 6 S 2nd St Ste 710, Yakima, WA 98901-2629 | 2017-08-16 |
| 1407388341 | Trevor Stephen | Counselor | 1500 Pacific Ave, Yakima, WA 98901-3408 | 2017-03-30 |
| 1548706740 | Northwest Nursing Consultants | Counselor | 3001 S 99th Ave, Yakima, WA 98903-9270 | 2017-01-11 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1902262439 | Hilarie Williams | Counselor | 303 E D St Ste 5, Yakima, WA 98901-2300 | 2016-01-13 |
| 1144611088 | Rose Roberson | Counselor | 3601 W Washington Ave, Suite 5, Yakima, WA 98903-1164 | 2015-02-13 |
| 1386053528 | Kimberly Mae Lunning | Counselor | 2815 Riverside Rd, Yakima, WA 98901-8538 | 2014-08-12 |
| Find all providers in YAKIMA | ||||
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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.