BLUETREAD THERAPEUTIC SERVICES, LLC (NPI# 1053855833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053855833 |
| Entity Type | Organization |
| Organization Name | BLUETREAD THERAPEUTIC SERVICES, LLC |
| Practice Address |
2366 Eastlake Ave E Ste 215 Seattle WA 98102-6501 |
| Practice Telephone | 2065084576 |
| Practice Fax Number | 2065121654 |
| Mailing Telephone | 2065084576 |
| Mailing Fax Number | 2065121654 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | MARC E ANDERSON (MANAGER/THERAPIST) |
| Authorized Official Telephone | 2065084576 |
| Authorized Official Credential | MA, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LH60717794 | WA | Agencies |
| Street Address |
2366 EASTLAKE AVE E STE 215 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043721459 | Wensi Dong | Marriage & Family Therapist | 2366 Eastlake Ave E Ste 215, Seattle, WA 98102-6501 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
| Find all providers in SEATTLE | ||||
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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.