CHARLI WARREN (NPI# 1629682893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682893 |
| Entity Type | Individual |
| Full Name | CHARLI WARREN |
| Other Name | CHARLI NICHOLS |
| Practice Address |
1202 Black Lake Blvd Sw Ste B Olympia WA 98502-7208 |
| Mailing Address |
109 Se Alder Manor Ln Shelton WA 98584-9383 |
| Practice Telephone | 3608788248 |
| Mailing Telephone | 3604901679 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1202 BLACK LAKE BLVD SW STE B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568785293 | Catholic Community Services Ww | Community/Behavioral Health | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2010-03-09 |
| 1245839125 | Maya Ledoux | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-10-21 |
| 1700494184 | Jodie Beth Martin | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-07-21 |
| 1174146419 | Jatou Saho | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-05-21 |
| 1174146625 | Grace Elisabeth Hendry | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-05-19 |
| 1083234231 | Ashley Joyce Ramos | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-04-17 |
| 1801425608 | Halida Markovic | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-04-03 |
| 1396389300 | Krystal Marie Lucero | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-11-01 |
| 1003459454 | Sheryl Stone-carle | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-10-17 |
| 1558902254 | Linnea Marie Swartz | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468362 | Lyric G Sisterhen | Peer Specialist | 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 | 2019-10-09 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1255985537 | David Michael Richardson | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1992364137 | Carrie Lee Moisey | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-06-11 |
| 1982161824 | Cassandra Cleo Rhoades | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-02-27 |
| 1790258283 | Lawrence Arnold Taylor | Peer Specialist | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-01-07 |
| Find all providers in OLYMPIA | ||||
Please comment or provide details below to improve the information on CHARLI WARREN.
| 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.