MICHAEL JACK SHOEMAKER (NPI# 1013446558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013446558 |
| Entity Type | Individual |
| Full Name | MICHAEL JACK SHOEMAKER |
| Credential | MA, LMHC, DMHP |
| Practice Address |
3859 Martin Way E Olympia WA 98506-5268 |
| Mailing Address |
3857 Martin Way E Olympia WA 98506-5268 |
| Practice Telephone | (360) 704-7170 |
| Practice Fax Number | 3607541194 |
| Mailing Telephone | 3607047170 |
| Mailing Fax Number | 3607541194 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00005040 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134339823 | Michael Todd Shoemaker | Pediatrics | 11511 Paynes Gray, Helotes, TX 78023-4645 | 2007-05-23 |
| 1164490215 | Michael L Shoemaker | Family Medicine | 1703 W Stones Crossing Rd Ste 200, Greenwood, IN 46143 | 2006-03-14 |
| 1639167687 | Michael David Shoemaker | Family Medicine | 1800 Community, Clinton, MO 64735 | 2005-10-12 |
| 1417456740 | Michael James Shoemaker | Physical Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-02-01 |
| 1558374223 | Michael E Shoemaker | Pediatrics | 6254 Lawville Rd, Wolcott, NY 14590-9792 | 2006-08-14 |
| Street Address |
3859 MARTIN WAY E |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831594068 | Behavioral Health Resources | Community/Behavioral Health | 3859 Martin Way E, Olympia, WA 98506-5268 | 2014-10-30 |
| 1114441151 | Jennifer Tracy Kenworthy | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-08-01 |
| 1619407251 | Resa Lynn Hoiland | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-15 |
| 1578093167 | Danyell Lynn Nikodim | Counselor | 3859 Martin Way E, Suite 102, Olympia, WA 98506 | 2017-06-15 |
| 1851820302 | Gregory Charles Endler | Marriage & Family Therapist | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-08 |
| 1326577032 | Courtney Reynolds | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1669092151 | Emily Stephens | Counselor | 415 38th Ave Ne, Olympia, WA 98506-2417 | 2020-04-24 |
| 1003440405 | Mary Achol Bol | Counselor | 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506-5050 | 2020-02-25 |
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1962047266 | Jeffrey Owen Nogler | Counselor | 1975 Olympia Ave Ne, Olympia, WA 98506-4643 | 2019-11-10 |
| 1720620636 | Heckler Integrative Psychiatric Care | Counselor | 2727 Westmoor Ct Sw Ste 100, Olympia, WA 98502-5754 | 2019-10-11 |
| 1073154936 | Michelle Rubbert | Counselor | 7722 Greenridge Loop Sw, Olympia, WA 98512-2347 | 2019-10-02 |
| 1295295749 | David Gervais | Counselor | 108 State Ave Nw Ste 25, Olympia, WA 98501-8249 | 2019-03-21 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.