MS. CHANDA DENISE ALLEN (NPI# 1104397314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104397314 |
| Entity Type | Individual |
| Full Name | MS. CHANDA DENISE ALLEN |
| Credential | CDP |
| Practice Address |
721 45th St Ne Auburn WA 98002-1303 |
| Mailing Address |
721 45th St Ne Ste C Auburn WA 98002-1303 |
| Practice Telephone | 2532896233 |
| Practice Fax Number | 2538590789 |
| Mailing Telephone | 2532896233 |
| Mailing Fax Number | 2538590789 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60171129 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CHEMICAL DEPENDENCY PROFESSIONAL | CP60171129 | 01 |
| Street Address |
721 45TH ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044715 | James Raymond Watts | Counselor | 31624 117th Ave Se, Auburn, WA 98092-3697 | 2020-05-16 |
| 1992344329 | Jessica Megan Basaldua | Counselor | 178 Gamage Ave Apt 1, Auburn, ME 04210-4573 | 2020-01-02 |
| 1447733746 | Theodore Parfet | Counselor | 12183 Locksley Ln # 101102, Auburn, CA 95602-2004 | 2018-09-12 |
| 1033612742 | Jeffery M Ostrom | Counselor | 12183 Locksley Ln Ste 201, Auburn, CA 95602-2052 | 2018-03-09 |
| 1972010650 | Mountain Side Behavioral Health | Counselor | 70 College Way, Auburn, CA 95603-5001 | 2018-01-04 |
| 1962864421 | Yesenia Estrada | Counselor | 11837 Kemper Rd Ste 2, Auburn, CA 95603-9067 | 2016-03-24 |
| 1235507419 | Debra Rossi | Counselor | 12183 Locksley Ln Ste 103, Auburn, CA 95602-2050 | 2015-09-04 |
| 1023417136 | Canaan Sampson | Counselor | 11837 Kemper Rd, Auburn, CA 95603-9067 | 2014-08-14 |
| 1053754416 | Alex E Broady | Counselor | 17300 Se 392nd Street, Auburn, WA 98092 | 2013-04-16 |
| 1023350980 | Jaime S Tomlinson | Counselor | 50 Chicoine Ave, Auburn, ME 04210-8964 | 2013-03-19 |
| Find all providers in AUBURN | ||||
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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.