JONATHAN THOMAS WALLIS (NPI# 1134738222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134738222 |
| Entity Type | Individual |
| Full Name | JONATHAN THOMAS WALLIS |
| Practice Address |
811 Madison St Everett WA 98203-4543 |
| Mailing Address |
Po Box 2569 Everett WA 98213-0569 |
| Practice Telephone | 4252124200 |
| Practice Fax Number | 4252124201 |
| Mailing Telephone | 4252124200 |
| Mailing Fax Number | 4252124201 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253307 | Jonathan Marc Wallis | Social Worker | 1610 Scott St, San Francisco, CA 94115-3014 | 2009-05-18 |
| Street Address |
811 MADISON ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932140985 | Sondra Lee Laverne | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2006-06-09 |
| 1891394623 | Raymond Francis Lacko Jr. | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-22 |
| 1356940480 | Dennis R Phillips | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-10-20 |
| 1285243956 | Lauran Elizabeth Tapp | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-28 |
| 1154930147 | Alexa T Nachreiner | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-07-27 |
| 1659998417 | Corilynne Woods | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-28 |
| 1942825781 | Lauren F Wilson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-08 |
| 1669096913 | Meghan Irene Rose White | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-02 |
| 1285257790 | Susan Sarrazin | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-05-19 |
| 1487277893 | Collene Towers | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241638 | Debbie Bayer L.m.f.t.p.l.l.c | Counselor | 2230 Rucker Ave # A1, Everett, WA 98201-2772 | 2020-09-29 |
| 1982219929 | Melanie Anne Roque | Counselor | 4326 Terrace Dr, Everett, WA 98203-2204 | 2020-09-15 |
| 1093328403 | Bailey Marie Walters | Counselor | 3305 Oakes Ave, Everett, WA 98201-4409 | 2020-08-25 |
| 1740818079 | Alona Wellness Center, Pllc | Counselor | 2701 Wetmore Ave Ste 205, Everett, WA 98201-3593 | 2020-03-31 |
| 1144853219 | Jann Finley Lmhc Ccht Inc | Counselor | 2804 Grand Ave Ste 303b, Everett, WA 98201-3586 | 2020-02-18 |
| 1629615380 | Christina Laguerre Malai | Counselor | 88 Morris St, Everett, MA 02149-2347 | 2019-12-02 |
| 1841846219 | Annette Lualemaga | Counselor | 11314 4th Ave W Ste 209, Everett, WA 98204-6926 | 2019-08-12 |
| 1023660214 | Carmela Anita Maxell-harrison | Counselor | 2320 Rockefeller Ave # A, Everett, WA 98201-2832 | 2019-07-09 |
| 1033779103 | Kaitlin Davis | Counselor | 1712 Pacific Ave Ste 102, Everett, WA 98201-4055 | 2019-06-19 |
| 1326608498 | Marlane Rembold | Counselor | 1712 Pacific Ave Ste 201, Everett, WA 98201-4055 | 2019-06-19 |
| Find all providers in EVERETT | ||||
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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.