DAKOTA E CARUCCI (NPI# 1659985117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659985117 |
| Entity Type | Individual |
| Full Name | DAKOTA E CARUCCI |
| Practice Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
| Practice Telephone | 3603309044 |
| Practice Fax Number | 3607363139 |
| Mailing Telephone | 3603309044 |
| Mailing Fax Number | 3607363139 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2428 W REYNOLDS AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427156520 | Dwayne Allen Kruse | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2006-09-20 |
| 1447857172 | Aurora Cecelia Beck | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1447857180 | Kristina Chavez | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1518564251 | Alyssa Logan | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1639789381 | Lindsay Baker | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-07 |
| 1184234064 | Brent Garrett Erwin | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-05 |
| 1245848589 | Falisha Irene Bazemore | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-22 |
| 1376161273 | Bronson Makoa Lee | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-08 |
| 1063038966 | Amber Shay Kesgard | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-06-17 |
| 1609499268 | Tonya Arlene Mackey | Counselor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515917 | N W Pediatric Center, Inc. P.s. | Counselor | 1915 Cooks Hill Rd, Centralia, WA 98531-9073 | 2020-07-16 |
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1518505981 | Zachery E Hanke I | Counselor | 2428 W Reynolds Ave Ofc 185, Centralia, WA 98531-4554 | 2019-12-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1255807608 | Monica Doreen Rave | Counselor | 1126 S Gold St Ste 226, Centralia, WA 98531-3768 | 2018-10-23 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1538693684 | Katherine Thompson | Counselor | 2512 W Reynolds Ave, Centralia, WA 98531-4556 | 2017-04-15 |
| 1013457332 | Sydney Cummins | Counselor | 904 E Martin Luther Kind Drive, Centralia, IL 62801-3929 | 2017-03-06 |
| 1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in CENTRALIA | ||||
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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.