MRS. HOLLY LOUISE PANKRATZ (NPI# 1578807012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578807012 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY LOUISE PANKRATZ |
| Credential | LMHC |
| Practice Address |
18402 103rd Ave Ne Bothell WA 98011-3410 |
| Mailing Address |
21527 30th Ave Se Bothell WA 98021-7870 |
| Practice Telephone | 2067150915 |
| Mailing Telephone | 2067150915 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60313495 | WA | Behavioral Health & Social Service Providers |
| Street Address |
18402 103RD AVE NE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235302530 | Cindy Wuflestad | Counselor | 18402 103rd Ave Ne, Bothell, WA 98011-3410 | 2008-04-08 |
| 1104113729 | Cornerstones Counseling Center | Community/Behavioral Health | 18402 103rd Ave Ne, Bothell, WA 98011-3410 | 2011-07-03 |
| 1316252182 | Ruth M. Quist, Lmhc, Pllc | Counselor | 18402 103rd Ave Ne, Bothell, WA 98011-3410 | 2010-08-17 |
| 1952616716 | Ruth M Quist | Counselor | 18402 103rd Ave Ne, Bothell, WA 98011-3410 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492113 | Christopher D Pugh | Counselor | 19731 34th Dr Se, Bothell, WA 98012-7224 | 2020-09-21 |
| 1194333245 | Jennifer L Vonschondorf | Counselor | 10614 Beardslee Blvd Ste C, Bothell, WA 98011-3279 | 2020-07-15 |
| 1285252817 | David Martin Hester Jr. | Counselor | 23202 Fitzgerald Rd Apt A1, Bothell, WA 98021-7215 | 2020-07-09 |
| 1427672781 | Daniel Stover | Counselor | 11220 Ne 174th St, Bothell, WA 98011-3283 | 2020-06-02 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1447896113 | Shea Robinson | Counselor | 12900 Ne 180th St Ste 160, Bothell, WA 98011-5773 | 2019-11-18 |
| 1376186031 | Jordan Gerald Houghton | Counselor | 10634 E Riverside Dr Ste 300, Bothell, WA 98011-3751 | 2019-10-24 |
| 1023501178 | Jeanine O'connell | Counselor | 19515 N Creek Pkwy Ste 208, Bothell, WA 98011-8200 | 2018-06-13 |
| 1083112817 | Kelly Lynn Samli | Counselor | 22232 17th Ave Se Ste 302, Bothell, WA 98021-7425 | 2018-01-26 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| Find all providers in BOTHELL | ||||
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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.