MR. PAUL GLYNN (NPI# 1841573391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841573391 |
| Entity Type | Individual |
| Full Name | MR. PAUL GLYNN |
| Credential | QMHA |
| Practice Address |
3285 Ferguson St. Sw Tumwater WA 98512-9851 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 3602522989 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982941605 | Paul Glynn | Pharmacist | 1000 E Commercial Blvd, Oakland Park, FL 33334 | 2013-01-15 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1982819967 | Paul Eugene Glynn | Physical Therapist | 114 Waltham St, Suite G4, Lexington, MA 02421-5415 | 2007-05-11 |
| Street Address |
3285 FERGUSON ST. SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-9851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113932 | Charlene Nicole Ennis | Counselor | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-10-29 |
| 1780282830 | Tessala Wren Warheit-niemi | Rehabilitation Counselor | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-10-12 |
| 1588272892 | Alana Nicole Manley | Counselor | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-07-22 |
| 1568087518 | Matthew Ehler | Social Worker | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-06-15 |
| 1104450790 | Jason Anthony Kerr | Registered Nurse | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-02-24 |
| 1386298669 | Mandy Inman | Nurse's Aide | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1851656110 | Holly Raridon | Marriage & Family Therapist | 3285 Ferguson St. Sw, Tumwater, WA 98512-6154 | 2012-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605967 | Beth Samantha Schuurmans | Counselor | 616 North St Se, Tumwater, WA 98501-3439 | 2020-07-04 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1467946889 | Tracey Dorsey | Counselor | 115 X St Sw, Tumwater, WA 98501-4576 | 2018-06-19 |
| 1114447885 | Sandra Ann Ckodre | Counselor | 1275 2nd Ave Sw, Tumwater, WA 98512-6976 | 2017-06-23 |
| 1831619824 | Greg M Zikas | Counselor | 6128 Capital Blvd, Tumwater, WA 98512 | 2017-06-21 |
| 1902263056 | Elora Binnie | Counselor | 6334 Littlerock Rd. Sw Bdg 6, Tumwater, WA 98512 | 2016-01-20 |
| 1548626195 | Lauren Katerine Drake | Counselor | 530 Ensley Ln Se, Tumwater, WA 98501-4030 | 2016-01-12 |
| 1871960419 | David Lester Rodriguez II | Counselor | 5902 Elm St Se, Tumwater, WA 98501 | 2015-08-31 |
| 1356751382 | Anthony Scott Robbins | Counselor | 7223 Bronington Dr Sw, Tumwater, WA 98512-7393 | 2014-04-29 |
| 1336587880 | Shauna M Ericson | Counselor | 6004 Capitol Blvd Se, Tumwater, WA 98501-8520 | 2013-06-06 |
| Find all providers in TUMWATER | ||||
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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.