JUAN CERRILLO (NPI# 1902089980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902089980 |
| Entity Type | Individual |
| Full Name | JUAN CERRILLO |
| Practice Address |
2500 E College Way Mount Vernon WA 98273-5862 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3604288912 |
| Practice Fax Number | 3604246288 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RC00055523 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2500 E COLLEGE WAY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-5862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881769511 | Robert J. Vanmale | Counselor | 2500 E College Way, Ste 100, Mount Vernon, WA 98273-5862 | 2006-11-21 |
| 1366913915 | Tonya Derina Bieche | Counselor | 2500 E College Way, Mount Vernon, WA 98273-5862 | 2018-12-07 |
| 1770008674 | Amanda Neuhauser | Counselor | 2500 E College Way, Mount Vernon, WA 98273-5862 | 2017-08-11 |
| 1841650009 | Sunrise Services, Inc. | Community/Behavioral Health | 2500 E College Way, Mount Vernon, WA 98273-5862 | 2016-03-02 |
| 1255677571 | Brandon David Nevi | Counselor | 2500 E College Way, Mount Vernon, WA 98273-5862 | 2012-12-13 |
| 1265665632 | Debby Jo Jemeyson | Counselor | 2500 E College Way, Mount Vernon, WA 98273-5862 | 2009-09-01 |
| 1194965707 | Adriana Maria Fischetti | Counselor | 2500 E College Way, Suite 100, Mount Vernon, WA 98273-5862 | 2009-02-23 |
| 1831355890 | Jose Cisneros | Counselor | 2500 E College Way, Suite 102a, Mount Vernon, WA 98273-5862 | 2008-07-30 |
| 1962694729 | Jonathan James Vander Schuur | Marriage & Family Therapist | 2500 E College Way, Suite 100, Mount Vernon, WA 98273-5862 | 2007-08-15 |
| 1386790020 | Antonio Zavala Sosa | Counselor | 2500 E College Way, Suite 100, Mount Vernon, WA 98273-5862 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176414 | Loretta Dolphus II | Counselor | 256 Washington St Ste 3, Mount Vernon, NY 10553-1056 | 2019-10-21 |
| 1811547300 | Elizabeth Lee Osteen | Counselor | 2203 Old Highway 99 S Rd, Mount Vernon, WA 98273-9009 | 2019-09-17 |
| 1033659743 | Tamara Jean Pickart | Counselor | 104 Northview Rd, Mount Vernon, SD 57363-2036 | 2017-02-28 |
| 1255870085 | Truly Pollard | Counselor | 18125 Highway 43, Mount Vernon, AL 36560 | 2017-02-13 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1902251671 | Wendy Hubenthal | Counselor | 1330 S 2nd St # 7, Mount Vernon, WA 98273-4804 | 2016-04-29 |
| 1245632868 | Callie Reff | Counselor | 2221 N Trumpeter Dr, Mount Vernon, WA 98273-8968 | 2014-09-26 |
| 1972925568 | Tristan Daeley | Counselor | 1100 S 2nd St # 1, Mount Vernon, WA 98273-4209 | 2014-01-16 |
| 1326470121 | Amber Phelps Schweda | Counselor | 4114 N Water Tower Place, Suite C, Mount Vernon, IL 62864-6295 | 2013-08-02 |
| 1366781833 | Christine Hubert Dispas | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273-4200 | 2013-02-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
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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.