MRS. KRISTA L GIBBONS (NPI# 1942751771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942751771 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA L GIBBONS |
| Credential | MC60701062 |
| Practice Address |
1700 Nw Blvd Suite #200 Issaquah WA 98027 |
| Mailing Address |
1700 Nw Gilman Blvd Ste 200 Issaquah WA 98027-5364 |
| Practice Telephone | 4252957697 |
| Mailing Telephone | (425) 295-7697 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MC60701062 | WA | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 811 Madison St, Sunrise Services Inc., Everett, WA 982034543 | 4252124200 | 4252124201 |
| Street Address |
1700 NW BLVD SUITE #200 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| 1376902940 | Hana Imai | Speech-Language Pathologist | 290 Se Bust Street, Apt B, Issaquah, WA 98027 | 2016-02-11 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1780093385 | Nathaniel Metzger | Counselor | 195 Ne Gilman Blvd Ste 100, Issaquah, WA 98027-2940 | 2014-08-07 |
| 1407972920 | Carol Louise Wolf | Counselor | 700 Nw Gilman Blvd Ste E103, Pmb 301, Issaquah, WA 98027-8108 | 2007-03-22 |
| 1619595311 | Recenter Self | Counselor | 310 3rd Ave Ne Ste 109, Issaquah, WA 98027-3346 | 2020-07-09 |
| 1033650361 | Frank Michael Bruno | Counselor | 300 Ne Gilman Blvd Ste 300, Issaquah, WA 98027-2941 | 2017-03-20 |
| 1356704860 | Thrive Integrative Health Pllc | Counselor | 450 Nw Gilman Blvd, Suite 201, Issaquah, WA 98027 | 2016-04-01 |
| 1912323072 | Chris Kane | Counselor | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2014-03-13 |
| 1013339019 | Tamura Arthun, A Professional Corporation | Counselor | 310 3rd Ave Ne, Suite 110, Issaquah, WA 98027-3300 | 2014-01-09 |
| 1518388230 | Carla Munger | Counselor | 1495 Nw Gilman Blvd, Suite 11, Issaquah, WA 98027-8975 | 2013-12-23 |
| 1659710101 | Kristina Kay Steffen | Counselor | 535 E Sunset Way, Suite D, Issaquah, WA 98027 | 2013-06-18 |
| 1255671939 | Anthony K Branch | Counselor | 22525 Se 64th Pl, Issaquah, WA 98027-5383 | 2013-02-18 |
| Find all providers in ISSAQUAH | ||||
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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.