LAKEVIEW MENTAL HEALTH (NPI# 1194341685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194341685 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW MENTAL HEALTH |
| Practice Address |
19109 36th Ave W Ste 210 Lynnwood WA 98036-5767 |
| Mailing Address |
6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 |
| Practice Telephone | 7736925694 |
| Practice Fax Number | 7738258209 |
| Mailing Telephone | 7736925694 |
| Mailing Fax Number | 7738258209 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | ALEXANDRA JAMIE PALES (CEO) |
| Authorized Official Telephone | 7736925694 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1598205924 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6100 219th St Sw Ste 480, Mountlake Terrace, WA 980432222 | 7736925694 | 7738258209 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAKEVIEW MENTAL HEALTH PC | 6100 219th St Sw Ste 480, Mountlake Ter, WA 98043-2222 |
| Street Address |
19109 36TH AVE W STE 210 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1740753854 | Bridgette Jeffries | Nurse Practitioner | 4610 200th St Sw Ste K, Lynnwood, WA 98036-6606 | 2019-01-11 |
| 1013558030 | Mishele M Rutherford | Nurse Practitioner | 20508 56th Ave W, Lynnwood, WA 98036-7650 | 2019-10-01 |
| 1295396166 | Restoration Mental Health Services, LLC | Nurse Practitioner | 4610 200th St Sw Ste K, Lynnwood, WA 98036-6606 | 2019-06-21 |
| 1265875900 | Sarah Elizabeth Guy Woodall | Nurse Practitioner | 19401 40th Ave W, Suite 207, Lynnwood, WA 98036-4612 | 2013-04-11 |
| 1770889289 | Erin Elizabeth Kessler | Nurse Practitioner | 19707 44th Ave W, Suite 101, Lynnwood, WA 98036-6757 | 2011-01-31 |
| 1649573973 | Erika Marie Giraldo | Nurse Practitioner | 19109 36th Ave W, #209, Lynnwood, WA 98036-5767 | 2010-12-08 |
| 1396996039 | Melissa Marlene Turner | Nurse Practitioner | 19031 33rd Ave W, Suite 303, Lynnwood, WA 98036-4731 | 2008-09-30 |
| 1689619421 | Linda Rose Ciaramitaro | Nurse Practitioner | 4807 196th St Sw, Lynnwood, WA 98036-6430 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.