REBECCA S FRAZE (NPI# 1104345305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104345305 |
| Entity Type | Individual |
| Full Name | REBECCA S FRAZE |
| Credential | CDP, MHP |
| Practice Address |
230 E State St Mossyrock WA 98564-2501 |
| Mailing Address |
Po Box 1371 Chehalis WA 98532-0340 |
| Practice Telephone | 3609833227 |
| Practice Fax Number | 3609833289 |
| Mailing Telephone | 3609480203 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60315129 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 101YA0400X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2232 S Silver Lake Rd, Castle Rock, WA 986118021 | 3603533256 |
| Street Address |
230 E STATE ST |
| City | MOSSYROCK |
| State | WA |
| Zip Code | 98564-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090294 | Jack Otto Lehmann | Counselor | 230 E State St, Mossyrock, WA 98564 | 2017-08-24 |
| 1508426875 | Eugenia Center | Clinic/Center | 230 E State St, Mossyrock, WA 98564-2501 | 2019-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830362 | David Richard Baldwin | Counselor | 230 East State Street, Mossyrock, WA 98564 | 2017-09-20 |
| 1417106287 | Jill Michelle Bellino | Licensed Practical Nurse | 101 Hope St, Mossyrock, WA 98564 | 2008-09-16 |
| 1740462308 | Riffe Medical Center Inc. | Family Medicine | 745 Williams St., Mossyrock, WA 98564 | 2007-12-05 |
| 1770791667 | Bonnie Carey | Acupuncturist | 242 E State St, Mossyrock, WA 98564 | 2007-05-21 |
| 1851489421 | Kevin W. Mccurry | Family Medicine | 745 Williams Street, Mossyrock, WA 98564 | 2006-10-10 |
| 1770518847 | Mossyrock School District | Local Education Agency (LEA) | 545 Williams St., Mossyrock, WA 98564 | 2006-07-11 |
| 1598737611 | Mossyrock Emergency Services | Ambulance | 137 E Main St, Mossyrock, WA 98564 | 2006-02-02 |
| 1184908410 | Lewis County Hospital District No 1 | Family Medicine | 745 Williams Street, Mossyrock, WA 98564 | 2011-10-05 |
| 1205110830 | Lewis County Hospital District No 1 | Clinic/Center | 745 Williams Street, Mossyrock, WA 98564 | 2011-09-30 |
| 1649487935 | Stacy Dagnon | Massage Therapist | 424 Williams Street, Mossyrock, WA 98564 | 2007-05-17 |
| Find all providers in zip 98564 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1154830362 | David Richard Baldwin | Counselor | 230 East State Street, Mossyrock, WA 98564 | 2017-09-20 |
| 1679090294 | Jack Otto Lehmann | Counselor | 230 E State St, Mossyrock, WA 98564 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.