GENISE RACHELLE BAGBY (NPI# 1710330824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710330824 |
| Entity Type | Individual |
| Full Name | GENISE RACHELLE BAGBY |
| Credential | MA, LMHC, CDPT |
| Practice Address |
15 S Grady Way Ste 634 Renton WA 98057-3218 |
| Practice Telephone | 2066798291 |
| Practice Fax Number | 2062746252 |
| Mailing Telephone | 2066798291 |
| Mailing Fax Number | 2062746252 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60705270 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60844525 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2099247 | 05 |
| Street Address |
15 S GRADY WAY STE 634 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699256933 | Reach Beyond Counseling and Coaching Services Pllc | Clinic/Center | 15 S Grady Way Ste 634, Renton, WA 98057-3218 | 2018-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706456 | Therapeuo LLC | Counselor | 16503 Se 171st Pl, Renton, WA 98058-9589 | 2020-09-28 |
| 1033730254 | Sandra Martinez | Counselor | 17728 134th Ln Se, Renton, WA 98058-6818 | 2020-04-28 |
| 1174159495 | Anna Higgins | Counselor | 1200 Grant Ave S Apt X201, Renton, WA 98055-3099 | 2020-03-18 |
| 1881233328 | Hannah Mae Bergeron | Counselor | 15617 Se 173rd St, Renton, WA 98058-9121 | 2020-01-01 |
| 1609426030 | Robert Arthur Martin Jr. | Counselor | 15 S Grady Way Ste 241, Renton, WA 98057-3209 | 2019-09-17 |
| 1417509068 | Jamila Bates | Counselor | 360 Taylor Ave Nw Apt 311, Renton, WA 98057-5148 | 2019-07-14 |
| 1982261400 | Makaela M Hayward | Counselor | 1025 S 3rd St Ste B, Renton, WA 98057-2765 | 2019-05-20 |
| 1447721089 | Alice Coleman | Counselor | 15 S Grady Way Ste 246, Renton, WA 98057-3209 | 2018-12-07 |
| 1033636147 | Masako Mcbride | Counselor | 1200 Sw 27th St # D1e01, Renton, WA 98057-2603 | 2017-08-29 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| Find all providers in RENTON | ||||
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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.