MR. JAMES MARK CREA (NPI# 1699078659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699078659 |
| Entity Type | Individual |
| Full Name | MR. JAMES MARK CREA |
| Credential | CDP |
| Practice Address |
2502 Tacoma Ave S Tacoma WA 98402 |
| Mailing Address |
114 N 3rd Street Montesano WA 98563 |
| Practice Telephone | 2537590852 |
| Mailing Telephone | 3605937030 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CP 00006301 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CHEMICAL DEPENDENCY PROFESSIONAL CERTIFACATION NUMBER | CP 00006301 | 01 |
| Street Address |
2502 TACOMA AVE S |
| City | TACOMA |
| State | WA |
| Zip Code | 98402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215130166 | Community Counseling Institiute | Specialist | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2007-06-07 |
| 1083958680 | Yulonda Marie Chapman | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2012-11-20 |
| 1144596610 | Kenneth Ray Pimpleton | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2012-03-28 |
| 1558631051 | Dinahfinella Bernadine Bell | Counselor | 2502 Tacoma Ave S, 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-12-31 |
| 1184904500 | Leah Shalona Niccolocci | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-08-17 |
| 1245529403 | William Henry James | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-03-28 |
| 1538467907 | Community Counseling Institute | Community/Behavioral Health | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-03-08 |
| 1003110800 | David Lewis Mcleod | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-01-07 |
| 1982908133 | Katrina Williams | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2011-01-03 |
| 1760784581 | Nicole A Meacham | Counselor | 2502 Tacoma Ave S, Tacoma, WA 98402-1310 | 2010-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972945 | Phyllis Lizetta Jordan | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 101721s, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1376180745 | Adriana Guzman | Case Manager/Care Coordinator | 1305 Tacoma Ave S Ste 202, Tacoma, WA 98402-1903 | 2019-12-04 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1174167688 | Carmen Banks | Case Manager/Care Coordinator | 721 Fawcett Ave Fl 3, Tacoma, WA 98402-5502 | 2019-10-29 |
| 1891357539 | Jeannette Twitty | Case Manager/Care Coordinator | 1127 Broadway Ste 10, Tacoma, WA 98402-3519 | 2019-07-02 |
| 1841755840 | Chelsea Perry | Case Manager/Care Coordinator | 721 Fawcett Ave Ste 200, Tacoma, WA 98402-5502 | 2019-02-04 |
| 1265944326 | Erlinda Vergara | Case Manager/Care Coordinator | Bldg 2103 North Division, Tacoma, WA 98433 | 2017-10-30 |
| 1013429216 | Theresa A Gallo | Case Manager/Care Coordinator | Madigan Army Medical Center Hospital Dental Clinic, Tacoma, WA 98431-0001 | 2017-10-27 |
| 1235641598 | Solecia Lizama Cruz | Case Manager/Care Coordinator | 11572 17th & C St, Tacoma, WA 98433 | 2017-10-26 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
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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.