KEEP ON DANCING MENTAL HEALTH SERVICES, LLC (NPI# 1184013161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184013161 |
| Entity Type | Organization |
| Organization Name | KEEP ON DANCING MENTAL HEALTH SERVICES, LLC |
| Practice Address |
2722 Colby Ave Ste 328 Everett WA 98201 |
| Mailing Address |
2722 Colby Ave Suite 328 Everett WA 98201-3557 |
| Practice Telephone | 4257403600 |
| Practice Fax Number | 4257403601 |
| Mailing Telephone | 4257403600 |
| Mailing Fax Number | 4257403601 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | DESSETTA L SMITH (BILLING/OFFICE MNGR., AUTH. OFFICIA) |
| Authorized Official Telephone | 4257403600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LW00009392 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LW00009392 | WA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LW00009392 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LW00009392 | WA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | RN00059378 | WA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007518 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2054124 | 05 |
| Street Address |
2722 COLBY AVE STE 328 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477745719 | Dori Taylor Guterson | Counselor | 2722 Colby Ave Ste 328, Everett, WA 98201 | 2007-08-10 |
| 1588278410 | Dori Guterson Counseling Services | Counselor | 2722 Colby Ave Ste 328, Everett, WA 98201-3531 | 2020-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760049449 | Lisa Mitchell | Nurse Practitioner | 12800 Bothell Everett Hwy Ste 220, Everett, WA 98208-6642 | 2019-05-28 |
| 1144660325 | Ann Natalie Haelan | Nurse Practitioner | 2722 Colby Ave Ste 717, Everett, WA 98201-3535 | 2013-07-02 |
| 1023229424 | Barbara Jean Scott | Nurse Practitioner | 1721 Hewitt Avenue, Suite 501, Everett, WA 98201-3546 | 2007-05-25 |
| 1053399923 | Kate Hume | Nurse Practitioner | 4526 Federal Ave, Everett, WA 98203-2132 | 2006-01-02 |
| 1336132778 | Nancy Hamlin | Nurse Practitioner | 1728 W Marine View Dr Ste 109, Everett, WA 98201-2094 | 2005-08-30 |
| 1164947438 | Emma Oswald | Nurse Practitioner | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2017-08-08 |
| 1578012183 | Gale Springer | Nurse Practitioner | 916 Pacific Ave, Everett, WA 98201-4147 | 2016-09-23 |
| 1881140440 | Ilina Bucur | Nurse Practitioner | 1700 13th St, Everett, WA 98201 | 2016-09-01 |
| 1578915062 | Nathaniel Schmidt | Nurse Practitioner | 9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 | 2016-07-07 |
| 1497107122 | Andrew Kokesh | Nurse Practitioner | 1424 Broadway, Everett, WA 98201-1720 | 2016-07-06 |
| 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.