TERRELL BRIAN BRAGDON (NPI# 1144687997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144687997 |
| Entity Type | Individual |
| Full Name | TERRELL BRIAN BRAGDON |
| Credential | MA, LMHC, MHP, CMHS |
| Practice Address |
711 State Ave Ne Olympia WA 98506-3984 |
| Practice Telephone | 3609430780 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2018-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH60759610 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LH60759610 | WA | Behavioral Health & Social Service Providers |
| Street Address |
711 STATE AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083943187 | Tricia Anne Wiltse | Counselor | 711 State Ave Ne, Olympia, WA 98506 | 2009-12-18 |
| 1215541842 | Gaylene Venida | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-09-01 |
| 1508479817 | Alysia Day | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-26 |
| 1477165579 | Bonnie Joe Connolly | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-19 |
| 1326650565 | Tiffany Riggs | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-08-19 |
| 1336758465 | Kendall Leigh Williams | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-07-24 |
| 1417575705 | Thithien Nguyen | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-07-13 |
| 1306462429 | Karla Y Cota | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-06-24 |
| 1164044301 | Sarah E Moore | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-05-11 |
| 1124649835 | Amelia O'neil-hughes | Counselor | 711 State Ave Ne, Olympia, WA 98506-3984 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457730509 | Cynthia Jane Collingwood | Psychologist | 6636 Westhill Dr Sw, Olympia, WA 98512-2049 | 2015-05-22 |
| 1992954606 | Siobhan Cherisse Budwey | Psychologist | 324 W Bay Dr Nw Ste 220, Olympia, WA 98502-4926 | 2008-09-17 |
| 1528243250 | Kathleen K Oshaunessy | Psychologist | 2617 B 12th Ct Sw, Ste 5, Olympia, WA 98502 | 2007-12-31 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1649343419 | Sherwin Barry Cotler | Psychologist | 26178 12th Ct Sw, Suite 5, Olympia, WA 98502-5714 | 2006-11-17 |
| 1932273422 | John F Robinson | Psychologist | 1026 State Ave Ne, Olympia, WA 98506-4065 | 2006-11-17 |
| 1528174448 | David Joseph Reynolds | Psychologist | 501 Columbia St Nw, Suite E, Olympia, WA 98501-8229 | 2006-08-22 |
| 1164459780 | Susan D Steepy | Psychologist | 2617 B 12th Ct. Sw Suite 5, Olympia, WA 98502-5714 | 2006-06-27 |
| 1487690715 | James W Ingersoll | Psychologist | 1115 Olympia Ave Ne, Olympia, WA 98506 | 2006-06-22 |
| 1962469429 | Gerald Cavenee | Psychologist | 430 Lilly Rd Ne, Olympia, WA 98506-5132 | 2006-04-28 |
| Find all providers in OLYMPIA | ||||
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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.