DEANA M ENEBO-SHORT (NPI# 1871788653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871788653 |
| Entity Type | Individual |
| Full Name | DEANA M ENEBO-SHORT |
| Other Name | DEANA M ENEBO |
| Credential | LMHC |
| Practice Address |
5610 Kitsap Way Suite 250 Bremerton WA 98312-2292 |
| Mailing Address |
Po Box 657 Silverdale WA 98383-0657 |
| Practice Telephone | 3609905305 |
| Mailing Telephone | 3609905305 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00010999 | WA | Behavioral Health & Social Service Providers |
| Street Address |
5610 KITSAP WAY SUITE 250 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548983 | Robin Armijo | Massage Therapist | 5610 Kitsap Way, #260, Bremerton, WA 98312-2292 | 2016-10-12 |
| 1306246129 | Tamara Fowler | Massage Therapist | 5610 Kitsap Way, Suite 260, Bremerton, WA 98312-2292 | 2014-08-28 |
| 1427301977 | Jennifer Lynn Wickersham | Massage Therapist | 5610 Kitsap Way, Suite 260, Bremerton, WA 98312-2292 | 2012-10-22 |
| 1902116189 | Kim Ann Kessell | Counselor | 5610 Kitsap Way, Suite 350, Bremerton, WA 98312-2292 | 2010-10-20 |
| 1134308554 | Steven Wexler | Marriage & Family Therapist | 5610 Kitsap Way, Suite 250, Bremerton, WA 98312-2292 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1285193946 | Ellen Epstein | Counselor | 1933 4th St, Bremerton, WA 98337-1003 | 2019-03-13 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1588110399 | Melissa Stringer | Counselor | 440 Nw Solnae Pl, Bremerton, WA 98311-9148 | 2016-08-31 |
| 1346696267 | Rachel Dell | Counselor | 851 6th St Ste 155, Bremerton, WA 98337-1478 | 2016-05-10 |
| 1831551597 | Keiko Sano | Counselor | 843 6th St Ste 220, Bremerton, WA 98337-1439 | 2016-03-22 |
| 1174927024 | Green Roots Counseling | Counselor | 423 Pacific Ave, Bremerton, WA 98337-1914 | 2014-10-21 |
| 1871993295 | Lane Thomas Ormerod | Counselor | 922 Callahan Dr, Bremerton, WA 98310-4217 | 2014-09-04 |
| 1922374743 | Angela Norma Lujan | Counselor | 5760 School St Ne, Bremerton, WA 98311-9667 | 2012-03-26 |
| 1033400346 | Jill Dianne Bishop | Counselor | 1325 Lower Marine Dr, Bremerton, WA 98312-2437 | 2011-04-21 |
| Find all providers in BREMERTON | ||||
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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.