XICOTENCATL ADRIAN CEBALLOS (NPI# 1093088262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093088262 |
| Entity Type | Individual |
| Full Name | XICOTENCATL ADRIAN CEBALLOS |
| Credential | MSW/CDP |
| Practice Address |
1601 W Meeker St Suite 201 Kent WA 98032-4323 |
| Practice Telephone | 2067648019 |
| Practice Fax Number | 2534802937 |
| Mailing Telephone | 2067648019 |
| Mailing Fax Number | 2534802937 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP 00006028 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SA 60471715 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1601 W MEEKER ST SUITE 201 |
| City | KENT |
| State | WA |
| Zip Code | 98032-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417224379 | Liliana Godinez | Social Worker | 1601 W Meeker St, Kent, WA 98032-4323 | 2011-11-21 |
| 1770989121 | Nicole Pitsavas | Psychologist | 1601 W Meeker St, Suite 201, Kent, WA 98032-4323 | 2014-11-12 |
| 1215330519 | Samuel Mcqueen | Counselor | 1601 W Meeker St, Suite 201, Kent, WA 98032-4323 | 2014-09-30 |
| 1700149655 | Robert H Galindo | Counselor | 1601 W Meeker St, Kent, WA 98032-4323 | 2012-06-15 |
| 1780940502 | Leah Joyce Burton | Counselor | 1601 W Meeker St, Kent, WA 98032-4323 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353668 | Cynthia Njoki Wanjohi | Counselor | 14641 Se 276th Pl, Kent, WA 98042-9130 | 2020-10-11 |
| 1487277984 | Bonnie Harvey | Counselor | 24216 138th Ave Se, Kent, WA 98042-5186 | 2020-05-19 |
| 1831756238 | Marc Kedar Mueller | Counselor | 1621 Central Ave S Ste Q, Kent, WA 98032-7452 | 2019-05-22 |
| 1972060119 | Allyssa Gabrielle Dziurlaj | Counselor | 135 E Erie St Ste 304, Kent, OH 44240-3599 | 2019-02-25 |
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1841764966 | Amanda Mcdonald | Counselor | 4189 Whitestone Rd, Kent, OH 44240-6885 | 2019-01-12 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1821573528 | Cheryl L Fracasso | Counselor | 25722 135th Ave Se, Kent, WA 98042-3506 | 2018-09-27 |
| 1861999617 | Middle Path Counseling Services LLC | Counselor | 175 E Erie St Ste 304, Kent, OH 44240-3595 | 2018-04-09 |
| 1306353123 | Persephone Johansson | Counselor | 615 W Titus St Ste 103, Kent, WA 98032-5749 | 2018-01-02 |
| Find all providers in KENT | ||||
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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.