INTROSPECTIVE COUNSELING SERVICES, LLC (NPI# 1649794686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649794686 |
| Entity Type | Organization |
| Organization Name | INTROSPECTIVE COUNSELING SERVICES, LLC |
| Practice Address |
6320 Evergreen Way Ste 213 Everett WA 98203-4561 |
| Practice Telephone | (916) 801-8351 |
| Mailing Telephone | 9168018351 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | SHAWNTI JOHNSON (MEMBER) |
| Authorized Official Telephone | 9168018351 |
| Authorized Official Credential | MSW, LSWAIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | SC60527686 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSED SOCIAL WORK ASSOCIATE INDEPENDENT CLINICAL | SC60527686 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTROSPECTIVE COUNSELING SERVICES, LLC | 6320 Evergreen Way Ste 213, Everett, WA 98203-4561 |
| Street Address |
6320 EVERGREEN WAY STE 213 |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198400 | Shawnti Johnson | Counselor | 6320 Evergreen Way Ste 213, Everett, WA 98203-4561 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447756648 | Barbara Noel | Community/Behavioral Health | 55 Kinsman St # At, Everett, MA 02149-1325 | 2018-04-05 |
| 1184126567 | Institute for Family Development | Community/Behavioral Health | 14 E Casino Rd Ste D, Everett, WA 98208-2628 | 2018-03-01 |
| 1588175012 | M Brown Recovery | Community/Behavioral Health | 7207 Evergreen Way Ste M, Everett, WA 98203-5678 | 2017-10-24 |
| 1750741245 | Life Roots Counseling, Pllc | Community/Behavioral Health | 1721 Hewitt Ave Ste 419, Everett, WA 98201-3546 | 2016-02-26 |
| 1407231038 | Sunrise Services, Inc. | Community/Behavioral Health | 1718 Broadway, Everett, WA 98201-2347 | 2015-07-24 |
| 1831507839 | Eliot Community Human Services, Inc. | Community/Behavioral Health | 4 Heath St, Everett, MA 02149-1807 | 2014-07-23 |
| 1982966370 | Sunrise Psychiatric and Professional Services Inc | Community/Behavioral Health | 811 Madison, Everett, WA 98203-4543 | 2012-06-12 |
| 1255506259 | Better Health | Community/Behavioral Health | 1411 Kossuth Ave, Everett, WA 98203-6637 | 2008-04-29 |
| 1972728475 | Choices Assessment & Recovery, Inc. | Community/Behavioral Health | 11627 Airport Rd, Suite A, Everett, WA 98204 | 2007-04-17 |
| 1710040027 | North Sound Assessment & Counseling Services | Community/Behavioral Health | 1316 Wall St Ste 2b, Everett, WA 98201-3942 | 2006-12-18 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on INTROSPECTIVE COUNSELING SERVICES, LLC.
| 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.