BEHIND THE MASK THERAPY (NPI# 1114535853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114535853 |
| Entity Type | Organization |
| Organization Name | BEHIND THE MASK THERAPY |
| Practice Address |
1908 Nw 4th Ave Battle Ground WA 98604-6823 |
| Practice Telephone | 2532790032 |
| Mailing Telephone | 2532790032 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | LINDSAY HANSEN (THERAPIST) |
| Authorized Official Telephone | 2532790032 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1851671853 | 01 |
| WA | UBI | 604-636-312 | 01 |
| Other Name | Type Code |
|---|---|
| Behind the Mask Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BEHIND THE MASK THERAPY PLLC | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 |
| Street Address |
1908 NW 4TH AVE |
| City | BATTLE GROUND |
| State | WA |
| Zip Code | 98604-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265421 | David Cotteleer | Physical Therapist | 14109 Ne 258th St, Battle Ground, WA 98604 | 2017-03-06 |
| 1235528936 | Jason Egbert | Optometrist | 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 | 2015-01-18 |
| 1922413632 | Clearwater Escape | Clinic/Center | 118 South Parkway Ave # 215, Battle Ground, WA 98604 | 2014-06-23 |
| 1205171923 | Tiffany Alicia Natland | Massage Therapist | 119 S Parkway Ste 101a, Battle Ground, WA 98604 | 2012-12-06 |
| 1578812004 | Margaret Waddell | Dental Hygienist | 20516 Ne 101st Ct, Battle Ground, WA 98604 | 2012-08-30 |
| 1558678938 | Penny Marie Pastori | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604 | 2010-09-08 |
| 1992026355 | Corey Michael Bretting | Massage Therapist | 614 East Main Street, Battle Ground, WA 98604 | 2010-06-18 |
| 1407009350 | Anna Lee Dunn | Massage Therapist | 309 N.e 1st St, Battle Ground, WA 98604 | 2008-10-23 |
| 1235393166 | Above Beyond Dentistry and Implants | Dentist | 1908 Nw 1st Way Suite 105, Battle Ground, WA 98604 | 2008-07-10 |
| 1770769150 | Jacqueline Siy Tan | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604 | 2008-01-15 |
| Find all providers in zip 98604 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006559 | Sea - Mar Community Health Center | Clinic/Center | 118 S Parkway Ave, Battle Ground, WA 98604-9215 | 2019-11-01 |
| 1508321761 | Sea - Mar Community Health Center | Clinic/Center | 11117 Ne 189th St, Battle Ground, WA 98604-6244 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE GROUND |
| Zip Code | 98604 |
Please comment or provide details below to improve the information on BEHIND THE MASK THERAPY.
| 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.