KATIE A VAN KOMEN (NPI# 1922570217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922570217 |
| Entity Type | Individual |
| Full Name | KATIE A VAN KOMEN |
| Credential | CDPT |
| Practice Address |
1206 N Dolarway Rd Ste 114 Ellensburg WA 98926-8392 |
| Mailing Address |
201 E Lincoln Ave Ste 100 Yakima WA 98901-2348 |
| Practice Telephone | 5094575653 |
| Mailing Telephone | 5094575653 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60767403 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 E Lincoln Ave Ste 100, Yakima, WA 989012348 | 5094575653 | 5094573107 |
| Street Address |
1206 N DOLARWAY RD STE 114 |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-8392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560111 | Dale M Mcpherson | Counselor | 1206 N Dolarway Rd Ste 114, Ellensburg, WA 98926-8392 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609332238 | Fritz William Wichterman | Counselor | 502 W Illinois Ave, Ellensburg, WA 98926-2481 | 2019-02-19 |
| 1912441619 | John Charles Winston | Counselor | 507 N Nanum St # 30, Ellensburg, WA 98926-2886 | 2016-12-14 |
| 1790237162 | Robyn Webb | Counselor | 507 N Nanum St Rm 30, Ellensburg, WA 98926-2886 | 2016-11-01 |
| 1043332133 | The Valley Alcohol Council | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2007-04-06 |
| 1548884604 | Debbie Ann Lavelle | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2020-06-04 |
| 1821560111 | Dale M Mcpherson | Counselor | 1206 N Dolarway Rd Ste 114, Ellensburg, WA 98926-8392 | 2018-12-26 |
| 1861971814 | Chad Warren Morris | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-10 |
| 1477032597 | Melissa Frances Simmons | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-09 |
| 1316423239 | Jonathon Seaborn | Counselor | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2018-07-13 |
| 1871025775 | Megan Eastlick | Counselor | 707 N Pearl St Ste E, Ellensburg, WA 98926-2938 | 2017-03-30 |
| Find all providers in ELLENSBURG | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on KATIE A VAN KOMEN.
| 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.