NISOM ANDREW REYES CASTILLO (NPI# 1043829419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043829419 |
| Entity Type | Individual |
| Full Name | NISOM ANDREW REYES CASTILLO |
| Practice Address |
3436 Mary Elder Rd Ne Olympia WA 98506-5050 |
| Mailing Address |
304 W Bay Dr Nw Ste 101 Olympia WA 98502-4956 |
| Practice Telephone | 3605282590 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3436 MARY ELDER RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564934 | Cornelis Dehart Jr. | Psychologist | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2006-10-19 |
| 1205436094 | Angela M Sterling | Registered Nurse | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-10-29 |
| 1003415506 | Sarah K Augustine | Music Therapist | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-10-26 |
| 1922605211 | Marquesa Allen | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-10-08 |
| 1528674660 | Roberto Gutierrez De La Cruz Jr. | Registered Nurse | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-09-22 |
| 1124632518 | Jackie Marie Berge | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-09-02 |
| 1447864004 | Jeremy William Freier | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-09-01 |
| 1780297317 | Whitney Elaine Grays | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-08-24 |
| 1427660778 | Veronica Melissa Dupont-erickson | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-08-18 |
| 1932710886 | Sheena Marie Royle | Counselor | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-08-13 |
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| 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 | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696935 | Robert Evans | Rehabilitation Counselor | 5608 17th Ave Nw, Seattle, WA 98107-5232 | 2020-07-13 |
| 1760013346 | Andres Federico Aguirre | Rehabilitation Counselor | 776 White Hawk Ln Se, Tumwater, WA 98501-4571 | 2020-01-31 |
| 1578104808 | Terence Larome Webster | Rehabilitation Counselor | 305 S Lucile St, Seattle, WA 98108-2435 | 2019-10-08 |
| 1659896314 | Shannon E Mclain | Rehabilitation Counselor | 1526 Commerce Ave, Longview, WA 98632-4102 | 2017-08-03 |
| 1114298288 | Heidi Brown | Rehabilitation Counselor | 113 Cottage Ave, B, Cashmere, WA 98815-1001 | 2012-01-22 |
| 1255503355 | Marny Jean Howell | Rehabilitation Counselor | 9600 Veterans Drive American Lake Division, Building 148, Room 113, Tacoma, WA 98493-0001 | 2008-03-28 |
| 1780282830 | Tessala Wren Warheit-niemi | Rehabilitation Counselor | 3285 Ferguson St. Sw, Tumwater, WA 98512 | 2020-10-12 |
| 1013525203 | Heather Asplund | Rehabilitation Counselor | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-07-14 |
| 1801432703 | Heather Gregory-opliger | Rehabilitation Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2019-11-26 |
| 1275091589 | Tracy Renee Dobbins | Rehabilitation Counselor | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2019-03-05 |
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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.