MR. MARCUS PAUL BERLEY (NPI# 1891090346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891090346 |
| Entity Type | Individual |
| Full Name | MR. MARCUS PAUL BERLEY |
| Credential | LMHC |
| Practice Address |
15315 1st Ave Ne Ste 209 Duvall WA 98019-5005 |
| Mailing Address |
414 Front St N Issaquah WA 98027-2914 |
| Practice Telephone | 2066982350 |
| Mailing Telephone | 2066982350 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60643240 | WA | Behavioral Health & Social Service Providers |
| Street Address |
15315 1ST AVE NE STE 209 |
| City | DUVALL |
| State | WA |
| Zip Code | 98019-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363495 | Sydni Kohl Hammar | Student in an Organized Health Care Education/Training Program | 15315 1st Ave Ne Ste 209, Duvall, WA 98019-5005 | 2020-07-06 |
| 1952930497 | Saloumeh H Torabi | Counselor | 15315 1st Ave Ne Ste 209, Duvall, WA 98019-5005 | 2020-04-06 |
| 1083258180 | Sabrina Bachman | Counselor | 15315 1st Ave Ne Ste 209, Duvall, WA 98019-5005 | 2019-10-31 |
| 1700428356 | Sierra Jordan Phelps | Student in an Organized Health Care Education/Training Program | 15315 1st Ave Ne Ste 209, Duvall, WA 98019 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240202 | Emily Ellen Squiers | Counselor | 26420 Virginia St, Suite 2, Duvall, WA 98019 | 2018-09-27 |
| 1235629072 | Aubrey Christine Lane | Marriage & Family Therapist | Larch Counseling 15315 1st Avenue Northeast, #205-a, Duvall, WA 98019 | 2018-05-17 |
| 1528505575 | Jackie Schaedler Boak | Registered Nurse | 15309 2nd Ave Ne, Duvall, WA 98019 | 2017-01-30 |
| 1912326778 | Dan Claussen | Marriage & Family Therapist | 15315 Ne 1st Ave Ne, Suite 205-a, Duvall, WA 98019 | 2014-04-09 |
| 1134405509 | Amy R Bush | Physical Therapist | 15435 Main St. Ne #101, Duvall, WA 98019 | 2011-10-28 |
| 1407134919 | Cynthia Rebecca Tyler | Dentist | 26504 Ne Valley Street, Duvall, WA 98019 | 2011-08-01 |
| 1215256730 | Diane Zakrajsek | Dietitian, Registered | 26502 Ne Valley Street Suite 102, Duvall, WA 98019 | 2010-05-24 |
| 1093917320 | Jolynn Wagner | Psychologist | 26502 Ne Valley St Suite 101, Duvall, WA 98019 | 2007-05-31 |
| 1760690242 | Rebecca Jean Maxcy | Specialist | 15705 Main St, Duvall, WA 98019 | 2007-05-18 |
| 1538377064 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26509 N.e. Virginia St., Duvall, WA 98019 | 2007-05-18 |
| Find all providers in zip 98019 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198426 | Unified Counseling, Pllc | Counselor | 26331 Ne Valley St, Duvall, WA 98019-5022 | 2019-05-03 |
| 1124479886 | Meghan Margaret Wilkins Melanson | Counselor | 27915 Ne 152nd St, Duvall, WA 98019-8196 | 2016-06-23 |
| 1609115088 | Michael J Noblin | Counselor | 26420 Ne Virginia St, Duvall, WA 98019-5801 | 2013-02-05 |
| 1306997978 | Laureen Kaye | Counselor | 15321 Main St Ne, Ste #322, Duvall, WA 98019-8574 | 2007-01-12 |
| 1336757533 | Unknown Meghana Rajesh | Counselor | 15315 1st Ave Ne Ste 216, Duvall, WA 98019-5005 | 2020-07-14 |
| 1952930497 | Saloumeh H Torabi | Counselor | 15315 1st Ave Ne Ste 209, Duvall, WA 98019-5005 | 2020-04-06 |
| 1083258180 | Sabrina Bachman | Counselor | 15315 1st Ave Ne Ste 209, Duvall, WA 98019-5005 | 2019-10-31 |
| 1528619947 | Skye Macrae Curtis | Counselor | 15315 1st Ave Ne Ste 216, Duvall, WA 98019-5005 | 2019-09-26 |
| 1235789892 | Kristie N Harris | Counselor | 26420 Ne Virginia St Ste 2, Duvall, WA 98019-5801 | 2019-09-16 |
| 1629637103 | Danielle Baird Counseling & Psychotherapy Services, Pllc | Counselor | 15315 1st Ave Ne Ste 216, Duvall, WA 98019-5005 | 2019-06-10 |
| Find all providers in DUVALL | ||||
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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.