IKRON GREATER SEATTLE (NPI# 1215439799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215439799 |
| Entity Type | Organization |
| Organization Name | IKRON GREATER SEATTLE |
| Other Organization Name | IKRON GREATER SEATTLE HEALTH HOMES |
| Practice Address |
3805 108th Ave Ne Ste 204 Bellevue WA 98004-7613 |
| Practice Telephone | 4252421713 |
| Mailing Telephone | 4252421713 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LUDMILA MONICA NEGRILA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4252421713 |
| Authorized Official Credential | MA, LMHC, MHP, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2039446 | 05 |
| Other Name | Type Code |
|---|---|
| IKRON Greater Seattle Health Homes | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10303 Meridian Ave N Ste 204, Seattle, WA 981339483 | 2064207949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205230935 | Ikron Greater Seattle | Case Management | 3805 108th Ave Ne, Ste. 204, Bellevue, WA 98004-7613 | 2014-10-08 |
| Street Address |
3805 108TH AVE NE STE 204 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1902410061 | Susan Elizabeth Pavlansky | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-09-04 |
| 1669086823 | Genoveva Moldovan | Student in an Organized Health Care Education/Training Program | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-09-04 |
| 1528679099 | Sarah L Klausner | Student in an Organized Health Care Education/Training Program | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-08-10 |
| 1508484361 | Erin Carter | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-07-08 |
| 1912546201 | Marcola Joy Nixon | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-01-03 |
| 1528600475 | Emily Martin | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-10-11 |
| 1962053520 | Remy Nelson | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-09-25 |
| 1083262356 | Thomas Alan Towler | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-08-29 |
| 1831664317 | Alexandra Vinson | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| 1306392022 | Zan Xu Dds of Bellevue Pllc | Clinic/Center | 1160 106th Ave Ne, Bellevue, WA 98004 | 2016-09-01 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275323 | Healing Place Counseling, LLC | Clinic/Center | 3802 Raynor Pkwy Ste 203, Bellevue, NE 68123-2528 | 2020-11-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1780155416 | Eastside Women's Counseling | Clinic/Center | 1621 114th Ave Se Ste 224, Bellevue, WA 98004-6905 | 2018-12-06 |
| 1568970259 | Misty A Gasa | Clinic/Center | 7155 S 41st Ter, Bellevue, NE 68147-1056 | 2018-01-16 |
| 1114112687 | Sea-mar Community Health Center | Clinic/Center | 12835 Bel Red Rd, Bldg 100, Ste 145, Bellevue, WA 98005-2631 | 2007-09-07 |
| 1730221870 | Valley Medical Facilities, Inc. | Clinic/Center | 712 Lincoln Avenue, Staunton Clinic- Bellevue, Bellevue, PA 15202-3407 | 2007-02-13 |
| 1881211399 | West Coast Psychiatry | Clinic/Center | 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901 | 2020-06-30 |
| 1306488226 | Sea - Mar Community Health Center | Clinic/Center | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-10-11 |
| 1720631690 | Boriken Mental Health Services, Pllc | Clinic/Center | 14655 Ne Bel Red Rd Ste 203, Bellevue, WA 98007-3900 | 2019-07-19 |
| Find all providers in BELLEVUE | ||||
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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.