MR. JOHN BRADLEY AMELL (NPI# 1164031480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164031480 |
| Entity Type | Individual |
| Full Name | MR. JOHN BRADLEY AMELL |
| Credential | PEER COUNSELOR |
| Practice Address |
222 Wall St # 100 Seattle WA 98121-1431 |
| Mailing Address |
515 3rd Ave Seattle WA 98104-2304 |
| Practice Telephone | 2064413043 |
| Practice Fax Number | 2064414155 |
| Mailing Telephone | 2064641570 |
| Mailing Fax Number | 2066244196 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CG60920290 | WA | Other Service Providers |
| Street Address |
222 WALL ST # 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469463 | Nicholas Glen Dominique | Counselor | 222 Wall St # 100, Seattle, WA 98121-1431 | 2018-12-20 |
| 1639630437 | Kevin Camagong | Counselor | 222 Wall St # 100, Seattle, WA 98121-1431 | 2019-03-26 |
| 1235698010 | Sarah Rose Blakey | Student in an Organized Health Care Education/Training Program | 222 Wall St # 100, Seattle, WA 98121-1431 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| Find all providers in zip 98121 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1376007286 | Fritzina Fay Johnson | Peer Specialist | 1420 Western Ave Apt 1004, Seattle, WA 98101-2041 | 2019-01-24 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1548735897 | Kris Glen Hills | Peer Specialist | 28 S Brandon St, Seattle, WA 98134-2428 | 2018-10-12 |
| 1558960237 | Nicolette Vandenberg | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-22 |
| 1649878562 | Jay Thomas Scott | Peer Specialist | 222 Wall St, Seattle, WA 98121-1431 | 2020-10-13 |
| 1699372219 | Jody Orr | Peer Specialist | 2100 24th Ave S, Seattle, WA 98144-4637 | 2020-10-06 |
| 1902410970 | Sheridan Elizabeth Turner | Peer Specialist | 1600 S Lane St, Seattle, WA 98144-2810 | 2020-09-07 |
| Find all providers in SEATTLE | ||||
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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.