| Mindful Therapy Group | |
|
6505 216th St Sw Ste 100 Mountlake Terrace WA 98043-2089 | |
| (425) 640-7009 | |
| (425) 678-6455 |
| Full Name | Mindful Therapy Group |
|---|---|
| Speciality | Social Worker |
| Location | 6505 216th St Sw Ste 100, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Derek Alan Crain (OWNER) |
| Authorized Official Contact | 4256407009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy Group 6505 216th St Sw Ste 100 Mountlake Terrace WA 98043-2089 Ph: (425) 640-7009 | Mindful Therapy Group 6505 216th St Sw Ste 100 Mountlake Terrace WA 98043-2089 Ph: (425) 640-7009 |
| NPI Number | 1316238678 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 4981872561 |
|---|---|
| Medicare Enrollment ID | O20110726000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316238678 | NPI | - | NPPES |
| Provider Name | Nancy Dee Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871688374 PECOS PAC ID: 9032151279 Enrollment ID: I20050526000891 |
| Provider Name | Ronnie E Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659351286 PECOS PAC ID: 6507861226 Enrollment ID: I20061002000046 |
| Provider Name | Tracy L Clason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003991209 PECOS PAC ID: 2668574872 Enrollment ID: I20070219000430 |
| Provider Name | Lydia Saule Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710112834 PECOS PAC ID: 5092867986 Enrollment ID: I20090724000078 |
| Provider Name | Tate G Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417183864 PECOS PAC ID: 2769535616 Enrollment ID: I20090724000673 |
| Provider Name | Laurie B Weston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982788121 PECOS PAC ID: 4789608969 Enrollment ID: I20100831000076 |
| Provider Name | Susan A Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629399118 PECOS PAC ID: 6305962358 Enrollment ID: I20100927001298 |
| Provider Name | Arlene Maria Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982875035 PECOS PAC ID: 8921291121 Enrollment ID: I20101020000815 |
| Provider Name | Anne Theresa Cowan-cleveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326353863 PECOS PAC ID: 7214112051 Enrollment ID: I20110421000203 |
| Provider Name | Rachaud L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154569879 PECOS PAC ID: 7315124468 Enrollment ID: I20110527000112 |
| Provider Name | Rebecca S Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528348125 PECOS PAC ID: 8224298120 Enrollment ID: I20120330000362 |
| Provider Name | Tanya K Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699049304 PECOS PAC ID: 1355503897 Enrollment ID: I20120430000707 |
| Provider Name | Sonya Harkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164783114 PECOS PAC ID: 8527038850 Enrollment ID: I20120730000323 |
| Provider Name | Alice Y Buckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235479833 PECOS PAC ID: 6709028020 Enrollment ID: I20130815000177 |
| Provider Name | Kristen K Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033433511 PECOS PAC ID: 7012150600 Enrollment ID: I20130829000560 |
| Provider Name | Locky N Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022689 PECOS PAC ID: 3375770126 Enrollment ID: I20131226000717 |
| Provider Name | Evelyn K Mercier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326166869 PECOS PAC ID: 0446480396 Enrollment ID: I20140220001479 |
| Provider Name | Claire A Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023432655 PECOS PAC ID: 9335362474 Enrollment ID: I20140519001488 |
| Provider Name | Raquel M Bolender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790119675 PECOS PAC ID: 0749503035 Enrollment ID: I20141217001208 |
| Provider Name | Pamela D Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639296205 PECOS PAC ID: 6608199237 Enrollment ID: I20150106001278 |
| Provider Name | Nicole N Iwuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588441 PECOS PAC ID: 4981920857 Enrollment ID: I20150312000551 |
| Provider Name | Jessica B England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801141486 PECOS PAC ID: 3870748973 Enrollment ID: I20150409000025 |
| Provider Name | Sarah S Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639588619 PECOS PAC ID: 6002120201 Enrollment ID: I20150731016438 |
| Provider Name | Debra L Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801265053 PECOS PAC ID: 6406163591 Enrollment ID: I20150922003036 |
| Provider Name | Callan B Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508878299 PECOS PAC ID: 7113003153 Enrollment ID: I20150929003230 |
| Provider Name | Cindy F Bello-utu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073677399 PECOS PAC ID: 2961710009 Enrollment ID: I20151009000178 |
| Provider Name | Eric Cuestas Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164684817 PECOS PAC ID: 7214195049 Enrollment ID: I20151028001884 |
| Provider Name | Susan M Sakamoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639540008 PECOS PAC ID: 1658681267 Enrollment ID: I20151111002170 |
| Provider Name | Susan D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689070807 PECOS PAC ID: 7012235047 Enrollment ID: I20160104000612 |
| Provider Name | Debra Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053782102 PECOS PAC ID: 6305141151 Enrollment ID: I20160216002625 |
| Provider Name | Abigail Isquith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689825390 PECOS PAC ID: 1557669975 Enrollment ID: I20160418001665 |
| Provider Name | Franklin B Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821190950 PECOS PAC ID: 0840326872 Enrollment ID: I20160809001929 |
| Provider Name | Amanda M Hapenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941266 PECOS PAC ID: 6800024696 Enrollment ID: I20161027000719 |
| Provider Name | Benjamin Ross Dobbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447442124 PECOS PAC ID: 4183905417 Enrollment ID: I20161229000190 |
| Provider Name | Alexis A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154506186 PECOS PAC ID: 3870877608 Enrollment ID: I20170223000246 |
| Provider Name | Samantha L Poss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205138849 PECOS PAC ID: 8325310311 Enrollment ID: I20170825002386 |
| Provider Name | Alex E Gerace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912421348 PECOS PAC ID: 3476827106 Enrollment ID: I20170919004289 |
| Provider Name | Galib Sheikh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043739600 PECOS PAC ID: 3476819384 Enrollment ID: I20171109001168 |
| Provider Name | Susan B James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336669621 PECOS PAC ID: 1254698087 Enrollment ID: I20171201001889 |
| Provider Name | Annabelle T Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699286336 PECOS PAC ID: 0840557443 Enrollment ID: I20171207001226 |
| Provider Name | Mike Van Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245536945 PECOS PAC ID: 4183942451 Enrollment ID: I20171213000081 |
| Provider Name | Morgan Rae Negaard Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124556006 PECOS PAC ID: 4981964368 Enrollment ID: I20180202000879 |
| Provider Name | Amy Melissa Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528515814 PECOS PAC ID: 2961779368 Enrollment ID: I20180208001218 |
| Provider Name | Cary Shore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765880 PECOS PAC ID: 4385904515 Enrollment ID: I20180208002470 |
| Provider Name | Katherine E Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790073021 PECOS PAC ID: 6406015932 Enrollment ID: I20180208003106 |
| Provider Name | Jennifer M Schladweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013415728 PECOS PAC ID: 8325300544 Enrollment ID: I20180327001877 |
| Provider Name | Bethell Girma Assefa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679092704 PECOS PAC ID: 9537422456 Enrollment ID: I20180406000110 |
| Provider Name | Kevin R Mcgill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346580370 PECOS PAC ID: 6103181821 Enrollment ID: I20180530002820 |
| Provider Name | Micah Aria Vacatio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518374214 PECOS PAC ID: 4183970213 Enrollment ID: I20180703002173 |
| Provider Name | Tammy Gayle Lipke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528306594 PECOS PAC ID: 9335367077 Enrollment ID: I20180705000821 |
| Provider Name | Christopher Robin Carver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871089698 PECOS PAC ID: 2365790755 Enrollment ID: I20180801000985 |
| Provider Name | Edward G Worsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987386 PECOS PAC ID: 3870842685 Enrollment ID: I20180827002990 |
| Provider Name | Margaret M Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205353141 PECOS PAC ID: 4486909611 Enrollment ID: I20181210002669 |
| Provider Name | Michelle Nicholine Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969156 PECOS PAC ID: 1557609914 Enrollment ID: I20190208002408 |
| Provider Name | Barbara B Sitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275897043 PECOS PAC ID: 9537407853 Enrollment ID: I20190212002764 |
| Provider Name | Michael Levi Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073030227 PECOS PAC ID: 7517206865 Enrollment ID: I20190304001170 |
| Provider Name | Marissa June Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737661 PECOS PAC ID: 7810236106 Enrollment ID: I20190304002664 |
| Provider Name | Brandi D Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699085126 PECOS PAC ID: 5395967285 Enrollment ID: I20190308002294 |
| Provider Name | Deborah L Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720452337 PECOS PAC ID: 5193065357 Enrollment ID: I20190326000573 |
| Provider Name | Lauren K Renard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598077737 PECOS PAC ID: 2668715442 Enrollment ID: I20190517001859 |
| Provider Name | Shannon T Presler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382763 PECOS PAC ID: 9234472796 Enrollment ID: I20190524000481 |
| Provider Name | Brandy Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730667262 PECOS PAC ID: 2769715572 Enrollment ID: I20190611001114 |
| Provider Name | Sara Corinne Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861745234 PECOS PAC ID: 7810222015 Enrollment ID: I20190710002406 |
| Provider Name | Mariana Leigh Weller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376990721 PECOS PAC ID: 1254666258 Enrollment ID: I20190712002459 |
| Provider Name | Erin Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396211413 PECOS PAC ID: 7719213701 Enrollment ID: I20190729003659 |
| Provider Name | Monica Marie Steadman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780024448 PECOS PAC ID: 9436488475 Enrollment ID: I20190917000965 |
| Provider Name | Pam Dell Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568012508 PECOS PAC ID: 9335572213 Enrollment ID: I20191206001505 |
| Provider Name | Nathan G Ezzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952646903 PECOS PAC ID: 4880908458 Enrollment ID: I20191216000868 |
| Provider Name | Carla Marie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649813551 PECOS PAC ID: 7012341514 Enrollment ID: I20191216001520 |
| Provider Name | Carmen Crystal Berzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003085333 PECOS PAC ID: 5991083198 Enrollment ID: I20191217000852 |
| Provider Name | Richelle Renee Ruder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215572078 PECOS PAC ID: 0840624938 Enrollment ID: I20191224000481 |
| Provider Name | Tashau Cherae Asefaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811295025 PECOS PAC ID: 7911331905 Enrollment ID: I20191227002302 |
| Provider Name | Justine Marie Ivy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174165922 PECOS PAC ID: 0840625869 Enrollment ID: I20200122001685 |
| Provider Name | Kathryn Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184085003 PECOS PAC ID: 6800221755 Enrollment ID: I20200122003047 |
| Provider Name | Barbara Katherine Douglas-sandilands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780094375 PECOS PAC ID: 2264867928 Enrollment ID: I20200127002415 |
| Provider Name | Joy A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689804973 PECOS PAC ID: 4183760101 Enrollment ID: I20200129001016 |
| Provider Name | Paulette Michele Caswell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013440510 PECOS PAC ID: 1850727439 Enrollment ID: I20200129002235 |
| Provider Name | Susan E Van Skike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790328409 PECOS PAC ID: 7214363282 Enrollment ID: I20200211001280 |
| Provider Name | Vincent Peter Otundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801361126 PECOS PAC ID: 0749617835 Enrollment ID: I20200302002428 |
| Provider Name | Teresa Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023592078 PECOS PAC ID: 4183051162 Enrollment ID: I20200304001306 |
| Provider Name | Chad Lawrence Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783893 PECOS PAC ID: 1355778259 Enrollment ID: I20200304002267 |
| Provider Name | Season May Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902439391 PECOS PAC ID: 3870921398 Enrollment ID: I20200317000518 |
| Provider Name | Julie K Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174991889 PECOS PAC ID: 4183052277 Enrollment ID: I20200324002507 |
| Provider Name | Terry Jean Villacruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639519036 PECOS PAC ID: 9931538519 Enrollment ID: I20200402000933 |
| Provider Name | Joshua Logan Meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154871036 PECOS PAC ID: 4284910944 Enrollment ID: I20200415002849 |
| Provider Name | Joey Kate Bighouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275714248 PECOS PAC ID: 3577993310 Enrollment ID: I20200420001275 |
| Provider Name | Joy Louise Meek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487104386 PECOS PAC ID: 0244660579 Enrollment ID: I20200428001314 |
| Provider Name | Catherine Ren Royalty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720623473 PECOS PAC ID: 9335560341 Enrollment ID: I20200529001936 |
| Provider Name | Erin Elizabeth Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770889289 PECOS PAC ID: 4082035670 Enrollment ID: I20200608001512 |
| Provider Name | Neusha Hejazinia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447880349 PECOS PAC ID: 1759703309 Enrollment ID: I20200626002107 |
| Provider Name | George Leal Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912017153 PECOS PAC ID: 2264856954 Enrollment ID: I20200728003050 |
| Provider Name | Tamara Allison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598387631 PECOS PAC ID: 4789009184 Enrollment ID: I20200803000148 |
| Provider Name | Meghan Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295384923 PECOS PAC ID: 8729404926 Enrollment ID: I20200819000475 |
| Provider Name | Darnell Eugene Griffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922404714 PECOS PAC ID: 7416374137 Enrollment ID: I20200826002744 |
| Provider Name | Nonyerem Rosemary Eneje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780980623 PECOS PAC ID: 7012199698 Enrollment ID: I20200828000864 |
| Provider Name | Bianca Maya Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471059 PECOS PAC ID: 4385063452 Enrollment ID: I20200923002940 |
| Provider Name | Ann M Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047811 PECOS PAC ID: 6709205875 Enrollment ID: I20200923003128 |
| Provider Name | Moira Kapeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265982441 PECOS PAC ID: 9335568625 Enrollment ID: I20201006002709 |
| Provider Name | Tamra Kathleen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497378657 PECOS PAC ID: 6608296926 Enrollment ID: I20201026001204 |
| Provider Name | Funmilola O Adelokiki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447787551 PECOS PAC ID: 8123380995 Enrollment ID: I20201026001703 |
| Provider Name | Lamin K Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756636 PECOS PAC ID: 2961812102 Enrollment ID: I20201029001845 |
| Provider Name | Michele Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728841 PECOS PAC ID: 7113282682 Enrollment ID: I20201104002064 |
| Provider Name | Samantha M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831442912 PECOS PAC ID: 0648680454 Enrollment ID: I20201106000752 |
| Provider Name | Erik J Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851674667 PECOS PAC ID: 8527363498 Enrollment ID: I20201106002361 |
| Provider Name | Tanya Camiela Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295275949 PECOS PAC ID: 1456638089 Enrollment ID: I20201119000580 |
| Provider Name | Adaugo Iwuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295372373 PECOS PAC ID: 4183035264 Enrollment ID: I20201120000859 |
| Provider Name | Carron C Cherrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528122660 PECOS PAC ID: 3779885041 Enrollment ID: I20201207000728 |
| Provider Name | Xin Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912539099 PECOS PAC ID: 6901218478 Enrollment ID: I20201208001258 |
| Provider Name | Yaffa Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093315228 PECOS PAC ID: 9931511938 Enrollment ID: I20201216001292 |
| Provider Name | Tasha L. Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457897498 PECOS PAC ID: 0547672545 Enrollment ID: I20201216001379 |
| Provider Name | Dorcas Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143160 PECOS PAC ID: 7113339144 Enrollment ID: I20201216002546 |
| Provider Name | Anna Waldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518383728 PECOS PAC ID: 6608176540 Enrollment ID: I20201221000167 |
| Provider Name | Marlen Lukatsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932706066 PECOS PAC ID: 4486067931 Enrollment ID: I20201230002381 |
| Provider Name | Tiffany Nichol Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417502535 PECOS PAC ID: 7810320009 Enrollment ID: I20210106001719 |
| Provider Name | Derby S Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278154 PECOS PAC ID: 9032522131 Enrollment ID: I20210111000668 |
| Provider Name | Jamie L Posthuma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871723262 PECOS PAC ID: 8022339886 Enrollment ID: I20210111000669 |
| Provider Name | Shannon M Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124519822 PECOS PAC ID: 1951659879 Enrollment ID: I20210119002047 |
| Provider Name | Arsalan Abdul Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982164943 PECOS PAC ID: 9739594391 Enrollment ID: I20210212002451 |
| Provider Name | Laura Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336451947 PECOS PAC ID: 8820378201 Enrollment ID: I20210222001549 |
| Provider Name | Thyra Crissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538529904 PECOS PAC ID: 3971879651 Enrollment ID: I20210226001116 |
| Provider Name | John Andrew Paschal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770863805 PECOS PAC ID: 8426221128 Enrollment ID: I20210302002581 |
| Provider Name | Cindy Arriola Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720670680 PECOS PAC ID: 3173939691 Enrollment ID: I20210309000688 |
| Provider Name | Deborah Rose Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811169410 PECOS PAC ID: 9133535545 Enrollment ID: I20210310000732 |
| Provider Name | Francis Mbella Manga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154561439 PECOS PAC ID: 6204173479 Enrollment ID: I20210317002951 |
| Provider Name | Kelsey Markham Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548735749 PECOS PAC ID: 3476960105 Enrollment ID: I20210325001072 |
| Provider Name | Paul Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063074722 PECOS PAC ID: 1850727470 Enrollment ID: I20210405002311 |
| Provider Name | Christopher Schuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588292700 PECOS PAC ID: 0749601656 Enrollment ID: I20210405002456 |
| Provider Name | Noah Starer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447864889 PECOS PAC ID: 4486062700 Enrollment ID: I20210426001222 |
| Provider Name | Emmanuel M Metayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609315886 PECOS PAC ID: 4183994452 Enrollment ID: I20210510001875 |
| Provider Name | Jennifer A Urune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073906038 PECOS PAC ID: 2769701762 Enrollment ID: I20210511002462 |
| Provider Name | Adam D Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396336145 PECOS PAC ID: 8921415936 Enrollment ID: I20210512002259 |
| Provider Name | Frantz Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064830 PECOS PAC ID: 3971803073 Enrollment ID: I20210514000532 |
| Provider Name | Latoyia Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851891873 PECOS PAC ID: 2567715428 Enrollment ID: I20210518001979 |
| Provider Name | Maimouna Sow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598375917 PECOS PAC ID: 2567861305 Enrollment ID: I20210526003467 |
| Provider Name | Justin Evans Shipowick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447557665 PECOS PAC ID: 5496917924 Enrollment ID: I20210528001057 |
| Provider Name | Renia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795451 PECOS PAC ID: 9234460312 Enrollment ID: I20210609000661 |
| Provider Name | Jessica Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518390913 PECOS PAC ID: 5799185690 Enrollment ID: I20210615001453 |
| Provider Name | Harleen K Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881235364 PECOS PAC ID: 1052711983 Enrollment ID: I20210615002215 |
| Provider Name | Justin Clark Bayley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013581636 PECOS PAC ID: 4082015136 Enrollment ID: I20210625001976 |
| Provider Name | Frank Charles Bashumika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868126 PECOS PAC ID: 2163823162 Enrollment ID: I20210629000462 |
| Provider Name | Steven G Wolbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750695912 PECOS PAC ID: 8729353867 Enrollment ID: I20210630004097 |
| Provider Name | Stella Apari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023476934 PECOS PAC ID: 7113078809 Enrollment ID: I20210721000557 |
| Provider Name | Mona R Sanger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447821483 PECOS PAC ID: 1951704006 Enrollment ID: I20210727001516 |
| Provider Name | Kami Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486018 PECOS PAC ID: 6305103268 Enrollment ID: I20210728001396 |
| Provider Name | Elizabeth Ione Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043701303 PECOS PAC ID: 7911300769 Enrollment ID: I20210730001694 |
| Provider Name | Lindsey Ann Arrasmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588917637 PECOS PAC ID: 4981008752 Enrollment ID: I20210802003260 |
| Provider Name | Veronica Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194218966 PECOS PAC ID: 5395092472 Enrollment ID: I20210804000696 |
| Provider Name | Stephanie Lamigo Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811410657 PECOS PAC ID: 7113321266 Enrollment ID: I20210811002068 |
| Provider Name | Brandon David Dukovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922672047 PECOS PAC ID: 4587069695 Enrollment ID: I20210826002413 |
| Provider Name | Megan J Pickard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962932640 PECOS PAC ID: 9234535154 Enrollment ID: I20210901001050 |
| Provider Name | Dawn Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144353368 PECOS PAC ID: 9234195504 Enrollment ID: I20210903002431 |
| Provider Name | Nichole L Jardine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003266206 PECOS PAC ID: 0840381141 Enrollment ID: I20210924002959 |
| Provider Name | Marie A Goines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871116970 PECOS PAC ID: 5193122455 Enrollment ID: I20210929001399 |
| Provider Name | Sorya Pao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548870488 PECOS PAC ID: 7911305826 Enrollment ID: I20211007000591 |
| Provider Name | Erica Rosario O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961294 PECOS PAC ID: 9234366998 Enrollment ID: I20211012003423 |
| Provider Name | Leslyette Chevez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942978945 PECOS PAC ID: 5496153785 Enrollment ID: I20211018003007 |
| Provider Name | Erma Lus Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265006092 PECOS PAC ID: 5698163756 Enrollment ID: I20211022001954 |
| Provider Name | Mark David Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710434311 PECOS PAC ID: 9234527029 Enrollment ID: I20211027003272 |
| Provider Name | Gwendolyn Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013385038 PECOS PAC ID: 4082002639 Enrollment ID: I20211101001087 |
| Provider Name | Ayub Mwaura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780354944 PECOS PAC ID: 2668860222 Enrollment ID: I20211101001362 |
| Provider Name | Loan Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053440065 PECOS PAC ID: 6002914553 Enrollment ID: I20211117001593 |
| Provider Name | Anabel Bijemia Sema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720699473 PECOS PAC ID: 8820488976 Enrollment ID: I20211202003119 |
| Provider Name | Ericka L Wild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285155168 PECOS PAC ID: 0345631974 Enrollment ID: I20211215001770 |
| Provider Name | Jasmine Avea Elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952984510 PECOS PAC ID: 6709277338 Enrollment ID: I20211215001776 |
| Provider Name | Hea Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538679337 PECOS PAC ID: 4981095064 Enrollment ID: I20211228001025 |
| Provider Name | Larisa Sopka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932700465 PECOS PAC ID: 7416349113 Enrollment ID: I20220107002040 |
| Provider Name | Ashley Caroline Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493004 PECOS PAC ID: 7315339918 Enrollment ID: I20220111001348 |
| Provider Name | Coral Lynn Blankinship |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134762388 PECOS PAC ID: 4880086057 Enrollment ID: I20220120000541 |
| Provider Name | Tevon Andre Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407516578 PECOS PAC ID: 8224421045 Enrollment ID: I20220131000993 |
| Provider Name | Afolashade Tawa Bamigbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679010052 PECOS PAC ID: 3476837113 Enrollment ID: I20220203002517 |
| Provider Name | Bilal Ranginwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437816394 PECOS PAC ID: 3476946732 Enrollment ID: I20220209000574 |
| Provider Name | Ian T Pocock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750753836 PECOS PAC ID: 7719371442 Enrollment ID: I20220223001635 |
| Provider Name | Jashunta Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760836399 PECOS PAC ID: 7113279415 Enrollment ID: I20220225000109 |
| Provider Name | Vivian Kisanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821530155 PECOS PAC ID: 1456632447 Enrollment ID: I20220310002411 |
| Provider Name | Levi R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679245443 PECOS PAC ID: 9335534155 Enrollment ID: I20220315000200 |
| Provider Name | Ifeoma Nwankwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993398 PECOS PAC ID: 0345159497 Enrollment ID: I20220315001930 |
| Provider Name | Jong S Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801433131 PECOS PAC ID: 0345635876 Enrollment ID: I20220321001476 |
| Provider Name | Elizabeth Eizondo Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710638002 PECOS PAC ID: 1951797992 Enrollment ID: I20220331000620 |
| Provider Name | Jamie Helene Villemonte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467937383 PECOS PAC ID: 6800128653 Enrollment ID: I20220405002791 |
| Provider Name | Shawn W Boley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235672957 PECOS PAC ID: 0446646921 Enrollment ID: I20220409000346 |
| Provider Name | Ashley Renee Bangs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235703380 PECOS PAC ID: 5597151993 Enrollment ID: I20220412002294 |
| Provider Name | Nathan V Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922588094 PECOS PAC ID: 2163819269 Enrollment ID: I20220419002836 |
| Provider Name | Anjulie Semenchuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255934550 PECOS PAC ID: 8123415064 Enrollment ID: I20220425001144 |
| Provider Name | Jordan Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477082626 PECOS PAC ID: 3577978261 Enrollment ID: I20220426001810 |
| Provider Name | Terryann Dumyahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225333107 PECOS PAC ID: 0042607608 Enrollment ID: I20220428002214 |
| Provider Name | Kristine Corene Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831537943 PECOS PAC ID: 1850609397 Enrollment ID: I20220512001126 |
| Provider Name | Phong Toan Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760955256 PECOS PAC ID: 8921485939 Enrollment ID: I20220512002292 |
| Provider Name | Nakyung Lisa Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669143665 PECOS PAC ID: 0042697542 Enrollment ID: I20220523002691 |
| Provider Name | David Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669947024 PECOS PAC ID: 3870971112 Enrollment ID: I20220527001682 |
| Provider Name | Dorcas Kiguru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725488 PECOS PAC ID: 7113304189 Enrollment ID: I20220602002159 |
| Provider Name | Caitlin Walther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053895805 PECOS PAC ID: 7618355462 Enrollment ID: I20220607000725 |
| Provider Name | Mariah Marie Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285371385 PECOS PAC ID: 8224416938 Enrollment ID: I20220609000312 |
| Provider Name | Dumbe E Elessa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598990483 PECOS PAC ID: 2860871043 Enrollment ID: I20220617001376 |
| Provider Name | Trisha Ann Thorson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851858567 PECOS PAC ID: 4587043633 Enrollment ID: I20220620001216 |
| Provider Name | Jodi Amanda Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437627833 PECOS PAC ID: 5395124309 Enrollment ID: I20220622002083 |
| Provider Name | Kevin David Rodas Galindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730663246 PECOS PAC ID: 8224417969 Enrollment ID: I20220627000810 |
| Provider Name | Marie E Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649934522 PECOS PAC ID: 7012396633 Enrollment ID: I20220628000754 |
| Provider Name | Miranda L Van De Loo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518575968 PECOS PAC ID: 9133549009 Enrollment ID: I20220710000093 |
| Provider Name | Zion Shekinah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730729658 PECOS PAC ID: 8022499540 Enrollment ID: I20220714003551 |
| Provider Name | Jeffrey Hiroki Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255089074 PECOS PAC ID: 1850773235 Enrollment ID: I20220802000495 |
| Provider Name | Allison Cothern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306308341 PECOS PAC ID: 6204240153 Enrollment ID: I20220802002335 |
| Provider Name | Kirsten Elizabeth Nance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053843839 PECOS PAC ID: 3971985102 Enrollment ID: I20220803003202 |
| Provider Name | Kassandra Ransom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124682232 PECOS PAC ID: 7911325782 Enrollment ID: I20220818000838 |
| Provider Name | Sarah Louise Weerheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831799048 PECOS PAC ID: 8426431750 Enrollment ID: I20220818001148 |
| Provider Name | April Isamar Carrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155343 PECOS PAC ID: 7911381991 Enrollment ID: I20220825002834 |
| Provider Name | Chami Taraka Jayasinghe Arachchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760837629 PECOS PAC ID: 1850775750 Enrollment ID: I20220825004174 |
| Provider Name | Quinn N Fihn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609502517 PECOS PAC ID: 8729462585 Enrollment ID: I20220829003032 |
| Provider Name | Stacey Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962134403 PECOS PAC ID: 3072997576 Enrollment ID: I20220901001695 |
| Provider Name | Jeanglee Tracer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386050581 PECOS PAC ID: 2062896426 Enrollment ID: I20220902000583 |
| Provider Name | Achie Bela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437639192 PECOS PAC ID: 9234479262 Enrollment ID: I20220908003198 |
| Provider Name | Madysen Pruss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609242700 PECOS PAC ID: 8527443654 Enrollment ID: I20220909002473 |
| Provider Name | Jack Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982968210 PECOS PAC ID: 0547640385 Enrollment ID: I20220913003189 |
| Provider Name | Lauren Beth Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871211102 PECOS PAC ID: 9638554447 Enrollment ID: I20220914003907 |
| Provider Name | Lea Marie Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659090256 PECOS PAC ID: 1355726001 Enrollment ID: I20220915001719 |
| Provider Name | Neil Sarmiento Lacanlale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255926853 PECOS PAC ID: 0042695272 Enrollment ID: I20220923001298 |
| Provider Name | Kristen Elizabeth Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346999810 PECOS PAC ID: 3577939677 Enrollment ID: I20221014000480 |
| Provider Name | Nathanial Odell Render |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548508708 PECOS PAC ID: 4486020088 Enrollment ID: I20221024001271 |
| Provider Name | Taichi Shinohara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891270104 PECOS PAC ID: 9638547888 Enrollment ID: I20221121000856 |
| Provider Name | Cynthia Jeanne Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063985232 PECOS PAC ID: 7416325428 Enrollment ID: I20221123000788 |
| Provider Name | David Kelbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922731470 PECOS PAC ID: 5193194793 Enrollment ID: I20221202001723 |
| Provider Name | Ashley Rose Cedar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154047801 PECOS PAC ID: 9234508722 Enrollment ID: I20221205002172 |
| Provider Name | Pamela Handran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885259 PECOS PAC ID: 7618346131 Enrollment ID: I20221206000110 |
| Provider Name | Lucy Waithaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992217822 PECOS PAC ID: 6103185988 Enrollment ID: I20221221002906 |
| Provider Name | Iman M Yunis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326698077 PECOS PAC ID: 8921478595 Enrollment ID: I20221227000087 |
| Provider Name | Lena Lorraine Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194132829 PECOS PAC ID: 9436529898 Enrollment ID: I20221228002330 |
| Provider Name | Davita Jamise Adanuvor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629417621 PECOS PAC ID: 5799910378 Enrollment ID: I20221228002803 |
| Provider Name | Jamal Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811575194 PECOS PAC ID: 5395115745 Enrollment ID: I20221230000854 |
| Provider Name | Tyler Allen Vermilya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023585288 PECOS PAC ID: 0840661567 Enrollment ID: I20230117001375 |
| Provider Name | Austin Gonzalez-randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851975056 PECOS PAC ID: 4981075462 Enrollment ID: I20230119002265 |
| Provider Name | Alicia Marie Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115277 PECOS PAC ID: 2264803519 Enrollment ID: I20230124001088 |
| Provider Name | Raphael Y Mprah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013206838 PECOS PAC ID: 2062804818 Enrollment ID: I20230124003145 |
| Provider Name | Cassandra Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720640428 PECOS PAC ID: 9537530563 Enrollment ID: I20230130000936 |
| Provider Name | Hendricks Agwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386978864 PECOS PAC ID: 1557750858 Enrollment ID: I20230130001343 |
| Provider Name | Xue Geng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609448174 PECOS PAC ID: 9537531363 Enrollment ID: I20230203002463 |
| Provider Name | Helen Janean Stepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760957575 PECOS PAC ID: 8628440245 Enrollment ID: I20230208001595 |
| Provider Name | Christopher Jesus Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457957532 PECOS PAC ID: 0749680585 Enrollment ID: I20230213001025 |
| Provider Name | Bethany Lynn Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922634906 PECOS PAC ID: 1254703234 Enrollment ID: I20230221002653 |
| Provider Name | Lupe Guel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811602337 PECOS PAC ID: 8325411333 Enrollment ID: I20230222000835 |
| Provider Name | Jason Scott Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427754191 PECOS PAC ID: 5597138164 Enrollment ID: I20230301001407 |
| Provider Name | Jamie Kanehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306401773 PECOS PAC ID: 8426421678 Enrollment ID: I20230308003132 |
| Provider Name | Cristopher M Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659002145 PECOS PAC ID: 8224402441 Enrollment ID: I20230329001978 |
| Provider Name | Oluwaseyi Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528527017 PECOS PAC ID: 1355740309 Enrollment ID: I20230404001590 |
| Provider Name | Osaretin Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013561216 PECOS PAC ID: 2466886403 Enrollment ID: I20230419001476 |
| Provider Name | Lori Gardiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205076403 PECOS PAC ID: 7416009899 Enrollment ID: I20230419001699 |
| Provider Name | Kristie Marie Kopp Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346944253 PECOS PAC ID: 3678938826 Enrollment ID: I20230424001051 |
| Provider Name | Kathryn L Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902859903 PECOS PAC ID: 7618043043 Enrollment ID: I20230427002980 |
| Provider Name | Fatuma Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811510662 PECOS PAC ID: 6608231501 Enrollment ID: I20230428000311 |
| Provider Name | Rebecca Oteng-mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285398008 PECOS PAC ID: 6103204508 Enrollment ID: I20230428002291 |
| Provider Name | April Joann Matzenbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003547100 PECOS PAC ID: 9234509126 Enrollment ID: I20230428002334 |
| Provider Name | Bria Moira Killgore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851819833 PECOS PAC ID: 0648635458 Enrollment ID: I20230501002137 |
| Provider Name | Natnael Gebeyehu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528700309 PECOS PAC ID: 9931565322 Enrollment ID: I20230509001669 |
| Provider Name | Akosua S Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255592424 PECOS PAC ID: 3577847490 Enrollment ID: I20230511002156 |
| Provider Name | Jennifer Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902422801 PECOS PAC ID: 0345647889 Enrollment ID: I20230526002371 |
| Provider Name | Milagros Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730654971 PECOS PAC ID: 9436516523 Enrollment ID: I20230605003114 |
| Provider Name | Agnes Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659023737 PECOS PAC ID: 1557740693 Enrollment ID: I20230608000701 |
| Provider Name | Kevin Joseph Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699876177 PECOS PAC ID: 8123091683 Enrollment ID: I20230612001163 |
| Provider Name | Dean Albert Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730808502 PECOS PAC ID: 1052779519 Enrollment ID: I20230615002375 |
| Provider Name | Latosha K Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225325483 PECOS PAC ID: 8820268295 Enrollment ID: I20230619000953 |
| Provider Name | Chanin J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851630032 PECOS PAC ID: 9931346830 Enrollment ID: I20230627002809 |
| Provider Name | Corrine Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619442118 PECOS PAC ID: 2163881822 Enrollment ID: I20230629000631 |
| Provider Name | Jessica Olstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386094407 PECOS PAC ID: 2769841030 Enrollment ID: I20230705000963 |
| Provider Name | Grazyna Anna Pak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063108363 PECOS PAC ID: 8325407604 Enrollment ID: I20230705001231 |
| Provider Name | Jenny R Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225453699 PECOS PAC ID: 9931423563 Enrollment ID: I20230713001472 |
| Provider Name | Gladys Onchwati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669719035 PECOS PAC ID: 3375802580 Enrollment ID: I20230714002024 |
| Provider Name | Daniel W Matchar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811436835 PECOS PAC ID: 8921468588 Enrollment ID: I20230714002267 |
| Provider Name | Henry Adewole Ibitokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109744 PECOS PAC ID: 7618282153 Enrollment ID: I20230719003089 |
| Provider Name | Cindy Moua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972248383 PECOS PAC ID: 0244619252 Enrollment ID: I20230724002073 |
| Provider Name | Jaimee Lyn Brielmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790429629 PECOS PAC ID: 2668848359 Enrollment ID: I20230731001224 |
| Provider Name | Cary C Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245424100 PECOS PAC ID: 8921469446 Enrollment ID: I20230801000989 |
| Provider Name | Gabriel Nwannebuike Obu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831749720 PECOS PAC ID: 6507227774 Enrollment ID: I20230803003512 |
| Provider Name | Erik Hans Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285091348 PECOS PAC ID: 8921460718 Enrollment ID: I20230810001994 |
| Provider Name | Francisca Nebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492935 PECOS PAC ID: 1254623754 Enrollment ID: I20230816003124 |
| Provider Name | Rebekah Vigileos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445559 PECOS PAC ID: 5698137701 Enrollment ID: I20230821003093 |
| Provider Name | Jasmyne Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710303284 PECOS PAC ID: 8527290949 Enrollment ID: I20230901002708 |
| Provider Name | Lance V Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556248 PECOS PAC ID: 2769845098 Enrollment ID: I20230901003301 |
| Provider Name | Susan Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114418886 PECOS PAC ID: 0446686364 Enrollment ID: I20230901003387 |
| Provider Name | Jordin R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192983 PECOS PAC ID: 4981098845 Enrollment ID: I20230908002830 |
| Provider Name | Ronke Arogundade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609499821 PECOS PAC ID: 0749675965 Enrollment ID: I20230912002443 |
| Provider Name | Amanda Lynn Presho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740948967 PECOS PAC ID: 4789038191 Enrollment ID: I20231003002352 |
| Provider Name | Kianna Alexandra Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437500543 PECOS PAC ID: 0042665382 Enrollment ID: I20231006000879 |
| Provider Name | Olivier Bertrand Djoumessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568085074 PECOS PAC ID: 2860876794 Enrollment ID: I20231016000793 |
| Provider Name | Mariah Zeise Sommer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750830220 PECOS PAC ID: 6800242090 Enrollment ID: I20231024002931 |
| Provider Name | Rana Helen Pullom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295217495 PECOS PAC ID: 5890142236 Enrollment ID: I20231107002882 |
| Provider Name | Etienne C Poufong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023626959 PECOS PAC ID: 3173923166 Enrollment ID: I20231109001711 |
| Provider Name | Caroline Nduta Nduati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194407585 PECOS PAC ID: 1759739444 Enrollment ID: I20231117002264 |
| Provider Name | Carrie Ogrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760254007 PECOS PAC ID: 7618325929 Enrollment ID: I20231128000761 |
| Provider Name | Daniel K Njuguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467187732 PECOS PAC ID: 0345699807 Enrollment ID: I20231208001152 |
| Provider Name | Laura Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548863012 PECOS PAC ID: 4284083361 Enrollment ID: I20231214002149 |
| Provider Name | Charity Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013410695 PECOS PAC ID: 2264882356 Enrollment ID: I20240102003362 |
| Provider Name | Gerry Threatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285259002 PECOS PAC ID: 8224488267 Enrollment ID: I20240103001320 |
| Provider Name | Desilee Lynn Mock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407210776 PECOS PAC ID: 5991155947 Enrollment ID: I20240103001589 |
| Provider Name | Daniel Hong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841668787 PECOS PAC ID: 1557712544 Enrollment ID: I20240103003536 |
| Provider Name | Javen A Taaffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174183131 PECOS PAC ID: 8123479128 Enrollment ID: I20240103003781 |
| Provider Name | Margaret Ann Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912286113 PECOS PAC ID: 3971954983 Enrollment ID: I20240103004099 |
| Provider Name | F Christopher Siedow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780745307 PECOS PAC ID: 3779934781 Enrollment ID: I20240103004170 |
| Provider Name | Joe V R Gobunquin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356525570 PECOS PAC ID: 1456702422 Enrollment ID: I20240104001339 |
| Provider Name | Michael Casey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922553494 PECOS PAC ID: 1951752930 Enrollment ID: I20240104001521 |
| Provider Name | Doria Lynn Mcgahey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154966257 PECOS PAC ID: 7517318447 Enrollment ID: I20240104003847 |
| Provider Name | Evgenia Kaplan Morgenstern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558422444 PECOS PAC ID: 8224489158 Enrollment ID: I20240104003942 |
| Provider Name | Mark Francis Lins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891972154 PECOS PAC ID: 1557450343 Enrollment ID: I20240104004591 |
| Provider Name | Rebecca A Klingman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780100826 PECOS PAC ID: 4981055837 Enrollment ID: I20240104004629 |
| Provider Name | Han Soo Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033761408 PECOS PAC ID: 9638520505 Enrollment ID: I20240105000414 |
| Provider Name | Karen Elizabeth Mckenzie-alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356750525 PECOS PAC ID: 3274984059 Enrollment ID: I20240105000843 |
| Provider Name | Carly Mary Fritz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326567611 PECOS PAC ID: 7214388099 Enrollment ID: I20240105001030 |
| Provider Name | Katherine A Mccaffree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316596893 PECOS PAC ID: 0941651723 Enrollment ID: I20240105001037 |
| Provider Name | Tracy Kw Wiesneske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841553971 PECOS PAC ID: 1658722467 Enrollment ID: I20240105001970 |
| Provider Name | Dani N Danley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730430869 PECOS PAC ID: 3476904210 Enrollment ID: I20240105003118 |
| Provider Name | Angela Marie Sauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821586231 PECOS PAC ID: 5193176956 Enrollment ID: I20240105003877 |
| Provider Name | Mary K Norman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083171979 PECOS PAC ID: 9436500196 Enrollment ID: I20240105003980 |
| Provider Name | Adam Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447642376 PECOS PAC ID: 9133570898 Enrollment ID: I20240105004108 |
| Provider Name | Lonnie Renteria |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689111346 PECOS PAC ID: 6103277868 Enrollment ID: I20240105004240 |
| Provider Name | Cheryl Carp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003244898 PECOS PAC ID: 7416308101 Enrollment ID: I20240106000851 |
| Provider Name | Stephanie Lynn Padich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740858653 PECOS PAC ID: 4789035411 Enrollment ID: I20240108000862 |
| Provider Name | Lucy L Bosche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083248306 PECOS PAC ID: 2668823394 Enrollment ID: I20240108000955 |
| Provider Name | Kevin Pringle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336694967 PECOS PAC ID: 9638520224 Enrollment ID: I20240108005430 |
| Provider Name | Andi Eberhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982358446 PECOS PAC ID: 0446601033 Enrollment ID: I20240108005498 |
| Provider Name | Katelyn Yam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861922007 PECOS PAC ID: 4880045483 Enrollment ID: I20240108005998 |
| Provider Name | Barbara A. Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215226154 PECOS PAC ID: 6709237266 Enrollment ID: I20240109002142 |
| Provider Name | Sara M Kisko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518538834 PECOS PAC ID: 5991156317 Enrollment ID: I20240110003652 |
| Provider Name | Neera Mehta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104356179 PECOS PAC ID: 1951752211 Enrollment ID: I20240111000149 |
| Provider Name | Kristin Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710385067 PECOS PAC ID: 0941651228 Enrollment ID: I20240111000630 |
| Provider Name | Jessie Marie Moecia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790471431 PECOS PAC ID: 1254782568 Enrollment ID: I20240111001702 |
| Provider Name | Alex Rabern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578037065 PECOS PAC ID: 2860843943 Enrollment ID: I20240112003395 |
| Provider Name | Veronica G Jarrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518583723 PECOS PAC ID: 5496173528 Enrollment ID: I20240112003832 |
| Provider Name | David Flack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790041507 PECOS PAC ID: 2365894466 Enrollment ID: I20240112004252 |
| Provider Name | Erin Heath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285908350 PECOS PAC ID: 5092167197 Enrollment ID: I20240112004272 |
| Provider Name | Lisa Marie Celentano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093264632 PECOS PAC ID: 7810349925 Enrollment ID: I20240113000296 |
| Provider Name | Benard Kosgei Chessum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265179519 PECOS PAC ID: 2567814676 Enrollment ID: I20240113000574 |
| Provider Name | Femeke Britschgi Cabernard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043400369 PECOS PAC ID: 1850743980 Enrollment ID: I20240115000163 |
| Provider Name | Jennifer Ruth Trefonas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942270459 PECOS PAC ID: 2769834811 Enrollment ID: I20240115000532 |
| Provider Name | James Andrew Voss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679042220 PECOS PAC ID: 2961854013 Enrollment ID: I20240115000796 |
| Provider Name | Traci L Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770002271 PECOS PAC ID: 5496107476 Enrollment ID: I20240115001763 |
| Provider Name | Brett Wolff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902323637 PECOS PAC ID: 0042662082 Enrollment ID: I20240116001465 |
| Provider Name | Joy Carol Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912103698 PECOS PAC ID: 6901258979 Enrollment ID: I20240116002675 |
| Provider Name | Evan Strauss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447840053 PECOS PAC ID: 6305298282 Enrollment ID: I20240116003214 |
| Provider Name | Eric Kammersgard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568505345 PECOS PAC ID: 3577847896 Enrollment ID: I20240116003611 |
| Provider Name | Glenda Dematty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336531060 PECOS PAC ID: 0042662942 Enrollment ID: I20240116003812 |
| Provider Name | Katie Schroeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609217066 PECOS PAC ID: 8921450867 Enrollment ID: I20240117000428 |
| Provider Name | Eric Dodd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952779951 PECOS PAC ID: 0648622423 Enrollment ID: I20240117001928 |
| Provider Name | Jessica Duty |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972097525 PECOS PAC ID: 4385096189 Enrollment ID: I20240117002578 |
| Provider Name | Kerry Walsh Flothe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427239540 PECOS PAC ID: 5092167817 Enrollment ID: I20240117003350 |
| Provider Name | Ronay Pagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831737840 PECOS PAC ID: 5395197131 Enrollment ID: I20240117003999 |
| Provider Name | Todd Mitchell Krake |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306219373 PECOS PAC ID: 8729430566 Enrollment ID: I20240117004098 |
| Provider Name | Kevin Belsby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881084960 PECOS PAC ID: 9739531583 Enrollment ID: I20240117004479 |
| Provider Name | Rhonda Michelle Delcarlo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376904243 PECOS PAC ID: 5890147540 Enrollment ID: I20240117004674 |
| Provider Name | Timothy Skipworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689271710 PECOS PAC ID: 7517319270 Enrollment ID: I20240118000117 |
| Provider Name | Rhiannon Trozzi Andreini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558882134 PECOS PAC ID: 2668824202 Enrollment ID: I20240118003166 |
| Provider Name | Lori Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003230269 PECOS PAC ID: 5395197941 Enrollment ID: I20240118003535 |
| Provider Name | Stephen Mccrea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700339827 PECOS PAC ID: 0840642401 Enrollment ID: I20240118003835 |
| Provider Name | Denise Kapel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659738474 PECOS PAC ID: 0446602015 Enrollment ID: I20240118004007 |
| Provider Name | Kumiko Mizutani Boutz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407499536 PECOS PAC ID: 3577915198 Enrollment ID: I20240119001003 |
| Provider Name | Susan Santiago-turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659897288 PECOS PAC ID: 7113379546 Enrollment ID: I20240122000796 |
| Provider Name | Elizabeth Cashion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285300178 PECOS PAC ID: 9638521073 Enrollment ID: I20240122000934 |
| Provider Name | Julie Ann Kathrens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457962870 PECOS PAC ID: 5597117952 Enrollment ID: I20240122001969 |
| Provider Name | Meara B Harrington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851896476 PECOS PAC ID: 2961854278 Enrollment ID: I20240122003849 |
| Provider Name | Emmaleen Rochelle Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679883540 PECOS PAC ID: 5092168070 Enrollment ID: I20240125002816 |
| Provider Name | Karen Louise Simms |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871642777 PECOS PAC ID: 4284087107 Enrollment ID: I20240126003581 |
| Provider Name | Jason Charles Zontanos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932449600 PECOS PAC ID: 0244683175 Enrollment ID: I20240126004174 |
| Provider Name | Colby Tyler Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679027551 PECOS PAC ID: 3476906165 Enrollment ID: I20240130000510 |
| Provider Name | Junae Lynette Ilimaleota |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437430972 PECOS PAC ID: 2567815111 Enrollment ID: I20240130003125 |
| Provider Name | Fay Slusher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427180603 PECOS PAC ID: 5496108920 Enrollment ID: I20240131002170 |
| Provider Name | Shelly Rienhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376973768 PECOS PAC ID: 0941556765 Enrollment ID: I20240131002293 |
| Provider Name | Marianne G Goble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821365438 PECOS PAC ID: 2668825118 Enrollment ID: I20240131002992 |
| Provider Name | Devorah Rose Verburg-sachs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093292245 PECOS PAC ID: 3375996739 Enrollment ID: I20240201001767 |
| Provider Name | Kathryn Marie-lily Alcid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568981819 PECOS PAC ID: 7416300744 Enrollment ID: I20240201004642 |
| Provider Name | Fern L Krasney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801004494 PECOS PAC ID: 8820431133 Enrollment ID: I20240202003036 |
| Provider Name | Ashlee Anne Guckel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003151986 PECOS PAC ID: 0547603862 Enrollment ID: I20240202003512 |
| Provider Name | Dena R Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982759643 PECOS PAC ID: 8224272968 Enrollment ID: I20240203000170 |
| Provider Name | Tia Pollick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447735675 PECOS PAC ID: 3072956317 Enrollment ID: I20240203000398 |
| Provider Name | Angela Unique Saidybah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508332123 PECOS PAC ID: 9638512908 Enrollment ID: I20240205000852 |
| Provider Name | Adrienne Fiona Helander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013383017 PECOS PAC ID: 0547603797 Enrollment ID: I20240205003922 |
| Provider Name | Jeanette Perales Notturno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679145445 PECOS PAC ID: 9335582592 Enrollment ID: I20240205004028 |
| Provider Name | Amanda Birdsall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700351616 PECOS PAC ID: 5890138960 Enrollment ID: I20240206000234 |
| Provider Name | Melodie Shdo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952883845 PECOS PAC ID: 5092158162 Enrollment ID: I20240206000493 |
| Provider Name | Heidi Ann Duong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497218481 PECOS PAC ID: 9739522897 Enrollment ID: I20240206003601 |
| Provider Name | Tabitha Gail Teeples |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578089546 PECOS PAC ID: 5597108563 Enrollment ID: I20240206004250 |
| Provider Name | Kelsey Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972065134 PECOS PAC ID: 3577906239 Enrollment ID: I20240209000586 |
| Provider Name | Mary Susan Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700370350 PECOS PAC ID: 0345683918 Enrollment ID: I20240210000702 |
| Provider Name | Joyce Arline Moreno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427629617 PECOS PAC ID: 7012350622 Enrollment ID: I20240212001127 |
| Provider Name | Casidhe Anne Agrella |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578998480 PECOS PAC ID: 4789966672 Enrollment ID: I20240212001264 |
| Provider Name | Dylan Michael Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255984894 PECOS PAC ID: 0941643316 Enrollment ID: I20240213002559 |
| Provider Name | Brittany Adele Parton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205286838 PECOS PAC ID: 0244674620 Enrollment ID: I20240214001696 |
| Provider Name | Audrey Katherine Grettie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518344191 PECOS PAC ID: 3577907856 Enrollment ID: I20240214002217 |
| Provider Name | Holly D. Shockley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043497068 PECOS PAC ID: 5193175859 Enrollment ID: I20240217000006 |
| Provider Name | Katherine Eleanor Ibis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821555111 PECOS PAC ID: 3375987399 Enrollment ID: I20240219000773 |
| Provider Name | Robert Viola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851636245 PECOS PAC ID: 1658715412 Enrollment ID: I20240220002464 |
| Provider Name | Lisa Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962125849 PECOS PAC ID: 5991156440 Enrollment ID: I20240221003109 |
| Provider Name | Judith Wangari Olepere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497213094 PECOS PAC ID: 3375884877 Enrollment ID: I20240223003335 |
| Provider Name | Remara Anne Milnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164992608 PECOS PAC ID: 4486099421 Enrollment ID: I20240229000421 |
| Provider Name | Angelo Avila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285232645 PECOS PAC ID: 6305281189 Enrollment ID: I20240302000642 |
| Provider Name | Cynthia Piepenbrok |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265981237 PECOS PAC ID: 2264877984 Enrollment ID: I20240304001421 |
| Provider Name | Kim M Mcclain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841570066 PECOS PAC ID: 6204272701 Enrollment ID: I20240306003858 |
| Provider Name | Dorcas Wambui Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215434691 PECOS PAC ID: 9638434962 Enrollment ID: I20240316000512 |
| Provider Name | Karis Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043940117 PECOS PAC ID: 1254778863 Enrollment ID: I20240319001016 |
| Provider Name | Lois Eldora Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699945071 PECOS PAC ID: 8820435464 Enrollment ID: I20240319002089 |
| Provider Name | Victoria Carding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902319262 PECOS PAC ID: 5799043659 Enrollment ID: I20240319003761 |
| Provider Name | Celeste Skelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326746637 PECOS PAC ID: 5799122248 Enrollment ID: I20240320002040 |
| Provider Name | Patrick C Eneje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124710140 PECOS PAC ID: 8527405984 Enrollment ID: I20240320002730 |
| Provider Name | Alexandra Vance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912420688 PECOS PAC ID: 1850738246 Enrollment ID: I20240320004230 |
| Provider Name | Hayley Agarwal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396229894 PECOS PAC ID: 3375980717 Enrollment ID: I20240321001770 |
| Provider Name | Cristen Marie Seiders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588238570 PECOS PAC ID: 6901206846 Enrollment ID: I20240327003463 |
| Provider Name | Michael Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477194520 PECOS PAC ID: 7517304371 Enrollment ID: I20240328001980 |
| Provider Name | Randon Keoni Aea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992061832 PECOS PAC ID: 9133567746 Enrollment ID: I20240402001916 |
| Provider Name | Kellie Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770935116 PECOS PAC ID: 5890077820 Enrollment ID: I20240408000611 |
| Provider Name | Sarah Ann White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801540711 PECOS PAC ID: 3971942657 Enrollment ID: I20240415000397 |
| Provider Name | Laura Ann Chester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598183691 PECOS PAC ID: 5193164739 Enrollment ID: I20240416002643 |
| Provider Name | Donald Kirk Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821374463 PECOS PAC ID: 4082052097 Enrollment ID: I20240416002657 |
| Provider Name | Rochelle Sundeen Diconti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053897694 PECOS PAC ID: 4587003009 Enrollment ID: I20240417001360 |
| Provider Name | Justin Elliott Talkish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952823510 PECOS PAC ID: 6800235995 Enrollment ID: I20240423001274 |
| Provider Name | Robin Lynn Greenfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851522080 PECOS PAC ID: 7810336849 Enrollment ID: I20240423002884 |
| Provider Name | Melissa Morales Sincere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588337919 PECOS PAC ID: 8426497470 Enrollment ID: I20240423003956 |
| Provider Name | Dawn Louise Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528838711 PECOS PAC ID: 3476993858 Enrollment ID: I20240502000809 |
| Provider Name | Brett Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952941536 PECOS PAC ID: 7416349766 Enrollment ID: I20240514003025 |
| Provider Name | Sarah Lynette Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275060899 PECOS PAC ID: 3577904002 Enrollment ID: I20240514004089 |
| Provider Name | Mauricio Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366871824 PECOS PAC ID: 4587005806 Enrollment ID: I20240516003120 |
| Provider Name | Sheri Aiko Yamada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770062432 PECOS PAC ID: 1456793348 Enrollment ID: I20240523001214 |
| Provider Name | Amanda Marie Speer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902421688 PECOS PAC ID: 1052753704 Enrollment ID: I20240524003548 |
| Provider Name | Leslie S Shapiro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265839211 PECOS PAC ID: 5991147670 Enrollment ID: I20240527000335 |
| Provider Name | Cindy M Gracey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497219844 PECOS PAC ID: 0446692073 Enrollment ID: I20240528001528 |
| Provider Name | Dorothy Chadika Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558834986 PECOS PAC ID: 0345678975 Enrollment ID: I20240530002159 |
| Provider Name | Rose Vandenberghe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952520579 PECOS PAC ID: 2860834223 Enrollment ID: I20240530002518 |
| Provider Name | Eliza Mae Hersh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699245878 PECOS PAC ID: 3274075411 Enrollment ID: I20240604001001 |
| Provider Name | Janelle Marie Gault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225757057 PECOS PAC ID: 1355883596 Enrollment ID: I20240604001054 |
| Provider Name | Grace Adeline Koontz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760037626 PECOS PAC ID: 7113469982 Enrollment ID: I20240607001829 |
| Provider Name | Christopher Alan Uhlemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578975900 PECOS PAC ID: 1759823180 Enrollment ID: I20240612003823 |
Fiddlehead Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21907 64th Ave W Ste 330, Mountlake Terrace, WA 98043 Phone: 425-399-7063 | |
Pacific Psychiatric Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24001 56th Ave W, Suite D404, Mountlake Terrace, WA 98043 Phone: 425-749-5008 Fax: 866-305-0497 | |
Sunrise Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6505 218th St Sw, Mountlake Terrace, WA 98043 Phone: 425-212-4200 | |
Evolvwell Ecounseling & Supervision, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23309 Cedar Way Apt Q201, Mountlake Terrace, WA 98043 Phone: 206-875-2160 Fax: 206-333-0395 | |
Sunstone Psychiatry And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6100 219th St Sw Ste 480, Mountlake Terrace, WA 98043 Phone: 425-375-7866 | |
B Young Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21911 64th Ave W Ste 201, Mountlake Terrace, WA 98043 Phone: 425-248-1010 | |
Rain City Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6100 219th St Sw, Ste 480, Mountlake Terrace, WA 98043 Phone: 425-582-5642 Fax: 425-224-2758 |