| Lifestance Health | |
|
2420 S Union Ave Tacoma WA 98405-1322 | |
| (253) 752-7320 | |
| (480) 888-9679 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 2420 S Union Ave, Tacoma, Washington |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health Po Box 8550 Pasadena CA 91109-8550 Ph: (425) 279-8500 | Lifestance Health 2420 S Union Ave Tacoma WA 98405-1322 Ph: (253) 752-7320 |
| NPI Number | 1912008178 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 7719975085 |
|---|---|
| Medicare Enrollment ID | O20040505000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912008178 | NPI | - | NPPES |
| 164936 | Medicaid | OR |
| Provider Name | Kris H Hallenburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003894858 PECOS PAC ID: 4981684503 Enrollment ID: I20040723000660 |
| Provider Name | William A Blakey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497859888 PECOS PAC ID: 3375583016 Enrollment ID: I20050511001018 |
| Provider Name | Dennis W Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699839753 PECOS PAC ID: 5496798662 Enrollment ID: I20050608000591 |
| Provider Name | Andrea C Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427142538 PECOS PAC ID: 1850337205 Enrollment ID: I20050707000372 |
| Provider Name | Jane L Rekas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124186424 PECOS PAC ID: 3577598457 Enrollment ID: I20050929000181 |
| Provider Name | Kelly L Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487782553 PECOS PAC ID: 1052325370 Enrollment ID: I20060125000997 |
| Provider Name | Brooke A Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023154846 PECOS PAC ID: 7012924798 Enrollment ID: I20060321000757 |
| Provider Name | Kenneth E Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306998141 PECOS PAC ID: 3971513862 Enrollment ID: I20060421000030 |
| Provider Name | Jonathan M Strand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760431415 PECOS PAC ID: 6204847445 Enrollment ID: I20060601000057 |
| Provider Name | Yoonhui Choe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306947726 PECOS PAC ID: 1456451517 Enrollment ID: I20070703000383 |
| Provider Name | Victor B Richenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205811502 PECOS PAC ID: 1951495357 Enrollment ID: I20070917000089 |
| Provider Name | Kerry Em Phifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447336037 PECOS PAC ID: 5991883449 Enrollment ID: I20080423000645 |
| Provider Name | Aaron T Overman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982793170 PECOS PAC ID: 8527146000 Enrollment ID: I20080424000113 |
| Provider Name | Allan W Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841370350 PECOS PAC ID: 6406934926 Enrollment ID: I20080424000394 |
| Provider Name | Brett A Bennink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265596639 PECOS PAC ID: 1850450008 Enrollment ID: I20081104000089 |
| Provider Name | Kathryn M Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588728927 PECOS PAC ID: 0840353207 Enrollment ID: I20090112000075 |
| Provider Name | Kristi L Tasker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518972918 PECOS PAC ID: 1355498080 Enrollment ID: I20090414000700 |
| Provider Name | Daniel C Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598957110 PECOS PAC ID: 7810046406 Enrollment ID: I20090602000147 |
| Provider Name | Joseph R Thoits |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831396811 PECOS PAC ID: 8022154327 Enrollment ID: I20090929000652 |
| Provider Name | Cynthia M Polance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245474949 PECOS PAC ID: 4183751050 Enrollment ID: I20100423000846 |
| Provider Name | Joseph George Hromco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982923637 PECOS PAC ID: 3173648748 Enrollment ID: I20100920000672 |
| Provider Name | Eun K Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316122336 PECOS PAC ID: 3072639186 Enrollment ID: I20100927000719 |
| Provider Name | Michael M Terry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457432890 PECOS PAC ID: 7810181930 Enrollment ID: I20101103000373 |
| Provider Name | Colette R Deleon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164566113 PECOS PAC ID: 5193919926 Enrollment ID: I20101104001595 |
| Provider Name | Camille K Alenduff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386779635 PECOS PAC ID: 7315132115 Enrollment ID: I20101105000833 |
| Provider Name | Joni M Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235221052 PECOS PAC ID: 3577759588 Enrollment ID: I20101201001249 |
| Provider Name | Christopher W Camplair |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366571242 PECOS PAC ID: 7416144993 Enrollment ID: I20101209000671 |
| Provider Name | Juliann M Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932231925 PECOS PAC ID: 5597947408 Enrollment ID: I20110315000181 |
| Provider Name | Christopher L Thoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316178106 PECOS PAC ID: 0446434385 Enrollment ID: I20110418000527 |
| Provider Name | David O Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427122357 PECOS PAC ID: 1759566490 Enrollment ID: I20110425000179 |
| Provider Name | Kimberly R Hyam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346375037 PECOS PAC ID: 2961532460 Enrollment ID: I20110427000276 |
| Provider Name | Seldon Scott Pengelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407978943 PECOS PAC ID: 7810167384 Enrollment ID: I20110819000566 |
| Provider Name | Dale Reis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700961240 PECOS PAC ID: 5294905113 Enrollment ID: I20110901000777 |
| Provider Name | Janet Y Cline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336367218 PECOS PAC ID: 9032380829 Enrollment ID: I20110928000244 |
| Provider Name | Dianna Louise Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598047045 PECOS PAC ID: 1557536505 Enrollment ID: I20111202000580 |
| Provider Name | Ildiko Suto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760799480 PECOS PAC ID: 4789859042 Enrollment ID: I20111214001024 |
| Provider Name | Rebecca T Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497786735 PECOS PAC ID: 2466416698 Enrollment ID: I20120215000323 |
| Provider Name | Teri L Strong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669508198 PECOS PAC ID: 7416950175 Enrollment ID: I20120509000387 |
| Provider Name | Meredith A Lubow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275897597 PECOS PAC ID: 6901052737 Enrollment ID: I20120810000506 |
| Provider Name | Matthew D Lauzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467761726 PECOS PAC ID: 9830340652 Enrollment ID: I20121102000499 |
| Provider Name | Julie A Keanaaina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780987511 PECOS PAC ID: 4587816251 Enrollment ID: I20121203000203 |
| Provider Name | Brianne J Petrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295981256 PECOS PAC ID: 1658511852 Enrollment ID: I20130711000700 |
| Provider Name | Alex R Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124357306 PECOS PAC ID: 5395987077 Enrollment ID: I20130808000488 |
| Provider Name | Krista L Gautsche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073812996 PECOS PAC ID: 1951530153 Enrollment ID: I20140211000874 |
| Provider Name | Marie K Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790852754 PECOS PAC ID: 6901037365 Enrollment ID: I20140327001517 |
| Provider Name | Alberta Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134239817 PECOS PAC ID: 6204059439 Enrollment ID: I20140515001588 |
| Provider Name | Daniel S Chenoweth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801095997 PECOS PAC ID: 6507085289 Enrollment ID: I20140910002594 |
| Provider Name | Meghan L O'neil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154333094 PECOS PAC ID: 6901072107 Enrollment ID: I20150619001946 |
| Provider Name | Sarah Schrauben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851525620 PECOS PAC ID: 0648581223 Enrollment ID: I20150623002946 |
| Provider Name | Jan K Karadimas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730430562 PECOS PAC ID: 1850603705 Enrollment ID: I20150706002679 |
| Provider Name | Christy Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457637225 PECOS PAC ID: 4789998378 Enrollment ID: I20150727000889 |
| Provider Name | Kushanthi S Samaratunge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265605133 PECOS PAC ID: 6901113968 Enrollment ID: I20150923002723 |
| Provider Name | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20151006003184 |
| Provider Name | Ariane Maluina Soll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205230018 PECOS PAC ID: 6406165745 Enrollment ID: I20151027002451 |
| Provider Name | Catherine C Rockwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649567314 PECOS PAC ID: 5496056418 Enrollment ID: I20151216002760 |
| Provider Name | Mini Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316238603 PECOS PAC ID: 8729231881 Enrollment ID: I20151221000023 |
| Provider Name | Monica S Froman-reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578949608 PECOS PAC ID: 6608178835 Enrollment ID: I20160105002958 |
| Provider Name | Ann E Styrvoky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619177656 PECOS PAC ID: 6608046271 Enrollment ID: I20160204001921 |
| Provider Name | Karyn L Angell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073635678 PECOS PAC ID: 1456658434 Enrollment ID: I20160321001419 |
| Provider Name | Farzana Siddiqui |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255563524 PECOS PAC ID: 4587961313 Enrollment ID: I20160322002556 |
| Provider Name | Valerie C Providenza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891085478 PECOS PAC ID: 4688966369 Enrollment ID: I20160718000916 |
| Provider Name | Janette Stringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609117209 PECOS PAC ID: 9032403613 Enrollment ID: I20160804000439 |
| Provider Name | Nicole C O'hartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194933762 PECOS PAC ID: 5193995611 Enrollment ID: I20160819002118 |
| Provider Name | Corrina A Falkenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952533572 PECOS PAC ID: 5496041618 Enrollment ID: I20160914000393 |
| Provider Name | Christine L Mccambridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245379650 PECOS PAC ID: 5395815435 Enrollment ID: I20160928000728 |
| Provider Name | Jeffery Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361858 PECOS PAC ID: 3577851682 Enrollment ID: I20161005001422 |
| Provider Name | Suzanne K Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467587618 PECOS PAC ID: 7012295363 Enrollment ID: I20161020002394 |
| Provider Name | Brendan A Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390980 PECOS PAC ID: 0143542332 Enrollment ID: I20161115000290 |
| Provider Name | Shaun M Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487810271 PECOS PAC ID: 0941581003 Enrollment ID: I20170103001476 |
| Provider Name | Heather R Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962946020 PECOS PAC ID: 2668754987 Enrollment ID: I20170123000753 |
| Provider Name | Rick D Ralston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669923223 PECOS PAC ID: 4880978030 Enrollment ID: I20170307001229 |
| Provider Name | Jenna Quillen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821432030 PECOS PAC ID: 2769755636 Enrollment ID: I20170829002794 |
| Provider Name | Jennifer E Foresman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387733 PECOS PAC ID: 9931472198 Enrollment ID: I20170911000021 |
| Provider Name | Randolph L Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497803027 PECOS PAC ID: 4385917590 Enrollment ID: I20170912000706 |
| Provider Name | Patricia L Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700282001 PECOS PAC ID: 2769743012 Enrollment ID: I20180228002584 |
| Provider Name | Naamith Heiblum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356709984 PECOS PAC ID: 6800157017 Enrollment ID: I20180305001833 |
| Provider Name | Jonathan O Chrystal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508242736 PECOS PAC ID: 9436413788 Enrollment ID: I20180514001754 |
| Provider Name | Sari N Matisoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316305121 PECOS PAC ID: 4587928882 Enrollment ID: I20180515001265 |
| Provider Name | Scott A Davey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972738227 PECOS PAC ID: 1557626637 Enrollment ID: I20180518001562 |
| Provider Name | Edward G Worsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477987386 PECOS PAC ID: 3870842685 Enrollment ID: I20181001001391 |
| Provider Name | Dawn S Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295874543 PECOS PAC ID: 3274718499 Enrollment ID: I20181116001865 |
| Provider Name | Crystal L Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780017525 PECOS PAC ID: 2961637582 Enrollment ID: I20181212003045 |
| Provider Name | Kimberly A Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669676193 PECOS PAC ID: 8628313681 Enrollment ID: I20181219000784 |
| Provider Name | Geoffrey M Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427524842 PECOS PAC ID: 2668718081 Enrollment ID: I20190107000694 |
| Provider Name | Heather M Laskaris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083048607 PECOS PAC ID: 0042556219 Enrollment ID: I20190108003923 |
| Provider Name | Jessica A Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962983403 PECOS PAC ID: 4486991999 Enrollment ID: I20190122002786 |
| Provider Name | Grant E Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609276781 PECOS PAC ID: 5698012359 Enrollment ID: I20190204001520 |
| Provider Name | Ilene J Schechter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073758793 PECOS PAC ID: 7719225457 Enrollment ID: I20190205001997 |
| Provider Name | Kristi K Steinbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936833 PECOS PAC ID: 8628319548 Enrollment ID: I20190402002727 |
| Provider Name | Monica P Linder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275006546 PECOS PAC ID: 8628310638 Enrollment ID: I20190423001296 |
| Provider Name | William Y Hwang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225470156 PECOS PAC ID: 7618210667 Enrollment ID: I20190515002276 |
| Provider Name | Joelle Christine Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699805184 PECOS PAC ID: 2860727732 Enrollment ID: I20190715002250 |
| Provider Name | Chelsea K Sathoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548731748 PECOS PAC ID: 9739415373 Enrollment ID: I20190719001769 |
| Provider Name | Misty L Stronk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790234359 PECOS PAC ID: 5092041517 Enrollment ID: I20190722002317 |
| Provider Name | Dana Catherine Parfitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376970525 PECOS PAC ID: 6901132877 Enrollment ID: I20190730003470 |
| Provider Name | Lindsay Ann Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164086021 PECOS PAC ID: 4284962226 Enrollment ID: I20190828003164 |
| Provider Name | Kelton Tweed Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801438098 PECOS PAC ID: 8729410659 Enrollment ID: I20191115000021 |
| Provider Name | Kelly B Perez De La Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457788523 PECOS PAC ID: 0749613925 Enrollment ID: I20191202000616 |
| Provider Name | Tess J Krakoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770951402 PECOS PAC ID: 3577996164 Enrollment ID: I20191212002315 |
| Provider Name | Iliana B Henriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053797167 PECOS PAC ID: 3577997840 Enrollment ID: I20191218003054 |
| Provider Name | Megan R Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710330816 PECOS PAC ID: 5193150696 Enrollment ID: I20200109002799 |
| Provider Name | Joseph H Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356411763 PECOS PAC ID: 8426484064 Enrollment ID: I20200130001566 |
| Provider Name | Heather Ann Volkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134473523 PECOS PAC ID: 8426487851 Enrollment ID: I20200406000644 |
| Provider Name | Clark P Rector |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063761716 PECOS PAC ID: 1355762725 Enrollment ID: I20200617002862 |
| Provider Name | Pamela L Gates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114430386 PECOS PAC ID: 2466793211 Enrollment ID: I20200701002055 |
| Provider Name | Tina Marie Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447794110 PECOS PAC ID: 0749603041 Enrollment ID: I20200703000067 |
| Provider Name | Brent Kenneth Belford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386938389 PECOS PAC ID: 4284057159 Enrollment ID: I20200710000742 |
| Provider Name | Shantika Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326656851 PECOS PAC ID: 9335565340 Enrollment ID: I20200825001624 |
| Provider Name | Sandra M Roskott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164907796 PECOS PAC ID: 2163849191 Enrollment ID: I20200904000482 |
| Provider Name | Kristen F Fernandez-kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144714858 PECOS PAC ID: 8022436369 Enrollment ID: I20200917002535 |
| Provider Name | Stacia L Mandzij |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659890887 PECOS PAC ID: 9133548720 Enrollment ID: I20201001000272 |
| Provider Name | Stacey Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702014 PECOS PAC ID: 2860811130 Enrollment ID: I20201006001922 |
| Provider Name | David E Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588034193 PECOS PAC ID: 7315357167 Enrollment ID: I20201105001152 |
| Provider Name | Diana L Frates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558546465 PECOS PAC ID: 7911135371 Enrollment ID: I20201112001703 |
| Provider Name | Christopher H Fraczek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497906986 PECOS PAC ID: 1951730282 Enrollment ID: I20201130002302 |
| Provider Name | Mary E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891301990 PECOS PAC ID: 2567874092 Enrollment ID: I20201207002272 |
| Provider Name | Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821604422 PECOS PAC ID: 0446670483 Enrollment ID: I20210831003097 |
| Provider Name | Barbara Anna Hermann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962726679 PECOS PAC ID: 1951708452 Enrollment ID: I20210927001460 |
| Provider Name | Jacklyn Amberwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811567589 PECOS PAC ID: 5395138226 Enrollment ID: I20220216002962 |
| Provider Name | Laura C Lopach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467704775 PECOS PAC ID: 1456688456 Enrollment ID: I20220519002213 |
| Provider Name | Jacob Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538618723 PECOS PAC ID: 2264816263 Enrollment ID: I20220824003131 |
| Provider Name | Lisa M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356094148 PECOS PAC ID: 5597152942 Enrollment ID: I20220826002516 |
| Provider Name | Kathryn Macleod Heitzhausen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558716902 PECOS PAC ID: 6507234267 Enrollment ID: I20221130002121 |
| Provider Name | Sonja Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255777033 PECOS PAC ID: 3173995271 Enrollment ID: I20230220001337 |
| Provider Name | Karen Faye Mcvicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316218746 PECOS PAC ID: 9133552029 Enrollment ID: I20230303002230 |
| Provider Name | Leland Herman Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417253378 PECOS PAC ID: 0941673081 Enrollment ID: I20230310001000 |
| Provider Name | Brittany Joy Monson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417583170 PECOS PAC ID: 5698132439 Enrollment ID: I20230608003409 |
| Provider Name | Melissa Kinyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346703030 PECOS PAC ID: 6709243587 Enrollment ID: I20230609001668 |
| Provider Name | Andrea Mechelle Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952922049 PECOS PAC ID: 4284093592 Enrollment ID: I20230705002282 |
| Provider Name | Ethan Waranch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053764886 PECOS PAC ID: 2961861273 Enrollment ID: I20230705002505 |
| Provider Name | Hailey Elisabeth Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750763728 PECOS PAC ID: 3678932860 Enrollment ID: I20230706001793 |
| Provider Name | Eddie Chai Yuen Lui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386186716 PECOS PAC ID: 3173983855 Enrollment ID: I20230712003895 |
| Provider Name | Mary Dabney Bills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467915918 PECOS PAC ID: 8123488848 Enrollment ID: I20230713000799 |
| Provider Name | Mckenna Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356980239 PECOS PAC ID: 3072906791 Enrollment ID: I20230713003007 |
| Provider Name | Jacob Gabriel Kirkwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700566585 PECOS PAC ID: 0345602777 Enrollment ID: I20230816001679 |
| Provider Name | Shelby Elise Dobrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255022174 PECOS PAC ID: 1759745441 Enrollment ID: I20230913003783 |
| Provider Name | Jessica Kurzdorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538782826 PECOS PAC ID: 9830500529 Enrollment ID: I20230914000261 |
| Provider Name | Adele Ralene Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992841928 PECOS PAC ID: 1658735386 Enrollment ID: I20230914001214 |
| Provider Name | Lacey Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609333632 PECOS PAC ID: 4284089764 Enrollment ID: I20231018003991 |
| Provider Name | Eva Cicilian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801449301 PECOS PAC ID: 8921426230 Enrollment ID: I20231027002517 |
| Provider Name | Gregory E Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447389283 PECOS PAC ID: 5395878359 Enrollment ID: I20231108003960 |
| Provider Name | Dena Sites |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598237661 PECOS PAC ID: 3476900671 Enrollment ID: I20231109001669 |
| Provider Name | Sara Hathaway Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700116191 PECOS PAC ID: 0143677286 Enrollment ID: I20231109003765 |
| Provider Name | Tanya Lee Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093349508 PECOS PAC ID: 7315396249 Enrollment ID: I20231218001147 |
| Provider Name | Angelica Maria Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417604836 PECOS PAC ID: 0648622407 Enrollment ID: I20240117001528 |
| Provider Name | Christopher Stanton Browning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780828301 PECOS PAC ID: 7012351067 Enrollment ID: I20240216003966 |
| Provider Name | Cecilia Lynn Zoeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366224438 PECOS PAC ID: 4880030931 Enrollment ID: I20240311003767 |
| Provider Name | Andrea Michele Kahler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003373457 PECOS PAC ID: 2860830502 Enrollment ID: I20240401002198 |
| Provider Name | Beth R James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003970294 PECOS PAC ID: 3476992637 Enrollment ID: I20240419003072 |
| Provider Name | Brian J Hanni |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083000889 PECOS PAC ID: 7113366261 Enrollment ID: I20240422002703 |
| Provider Name | Gina Marie Batliner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891821336 PECOS PAC ID: 1153760160 Enrollment ID: I20240423002290 |
| Provider Name | Jennifer Zimmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346396744 PECOS PAC ID: 2961842778 Enrollment ID: I20240426002118 |
| Provider Name | Laura Lyons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578949640 PECOS PAC ID: 4587004239 Enrollment ID: I20240429003523 |
| Provider Name | Benjamin J Begley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558850289 PECOS PAC ID: 8921448044 Enrollment ID: I20240506003575 |
| Provider Name | Lisa Hobart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306994835 PECOS PAC ID: 7113368390 Enrollment ID: I20240520000558 |
| Provider Name | Tara Ericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157115 PECOS PAC ID: 6406187657 Enrollment ID: I20240520002657 |
| Provider Name | Aaron Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912688136 PECOS PAC ID: 9638523103 Enrollment ID: I20240604002455 |
| Provider Name | Tressa L Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972931905 PECOS PAC ID: 9931336344 Enrollment ID: I20240604002759 |
| Provider Name | Rebecca Nedden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194588178 PECOS PAC ID: 6103368295 Enrollment ID: I20240604003510 |
| Provider Name | Courtney Monique Jessie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285173633 PECOS PAC ID: 1759823347 Enrollment ID: I20240611002289 |
Sankofa Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Westridge Ave W # A, Tacoma, WA 98466 Phone: 253-348-3536 Fax: 253-954-1890 | |
Pioneer Counseling Tacoma - Fawcett Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Fawcett Ave Ste 200, Tacoma, WA 98402 Phone: 253-274-0484 Fax: 253-274-1457 | |
Grit City Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 S 7th St, Tacoma, WA 98405 Phone: 253-302-4639 | |
Erin Tansill Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1102 A St Ste 302, Tacoma, WA 98402 Phone: 253-843-7791 Fax: 253-201-4818 | |
Center For Substance Abuse Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Fawcett Ave, Suite 101, Tacoma, WA 98402 Phone: 253-284-9041 Fax: 253-593-2396 | |
Pierce County Residential Treatment Facility Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493 | |
Imagine Behavioral And Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Tacoma, WA 98499 Phone: 253-682-0320 |