EASTSIDE WOMEN'S COUNSELING (NPI# 1780155416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780155416 |
Entity Type | Organization |
Organization Name | EASTSIDE WOMEN'S COUNSELING |
Practice Address |
1621 114th Ave Se Ste 224 Bellevue WA 98004-6905 |
Mailing Address |
2425 84th Ave Se Mercer Island WA 98040-2223 |
Practice Telephone | 2065070289 |
Mailing Telephone | 4253500245 |
Enumeration Date | 2018-12-06 |
Last Update Date | 2018-12-06 |
Authorized Official Name | CARLA MUNGER (OWNER) |
Authorized Official Telephone | 4253500245 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPPES | 1518388230 | 01 | |
WA | WA DEPT OF HEALTH | MC60312903 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | EASTSIDE WOMEN'S COUNSELING LLC | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 |
Street Address |
1621 114TH AVE SE STE 224 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-6905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669031977 | Nicole Michelle Flynn | Social Worker | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 | 2019-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
Find all providers in zip 98004 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275323 | Healing Place Counseling, LLC | Clinic/Center | 3802 Raynor Pkwy Ste 203, Bellevue, NE 68123-2528 | 2020-11-07 |
1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
1568970259 | Misty A Gasa | Clinic/Center | 7155 S 41st Ter, Bellevue, NE 68147-1056 | 2018-01-16 |
1114112687 | Sea-mar Community Health Center | Clinic/Center | 12835 Bel Red Rd, Bldg 100, Ste 145, Bellevue, WA 98005-2631 | 2007-09-07 |
1730221870 | Valley Medical Facilities, Inc. | Clinic/Center | 712 Lincoln Avenue, Staunton Clinic- Bellevue, Bellevue, PA 15202-3407 | 2007-02-13 |
1881211399 | West Coast Psychiatry | Clinic/Center | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2020-06-30 |
1306488226 | Sea - Mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-10-11 |
1720631690 | Boriken Mental Health Services, Pllc | Clinic/Center | 14655 Ne Bel Red Rd Ste 203, Bellevue, WA 98007-3900 | 2019-07-19 |
1235697053 | Your Choice Counseling, LLC | Clinic/Center | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2019-03-11 |
Find all providers in BELLEVUE |
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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.