DAVID KETOLA (NPI# 1295204287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295204287 |
| Entity Type | Individual |
| Full Name | DAVID KETOLA |
| Credential | LMHCA |
| Practice Address |
1539 Ne 177th St Ste B Shoreline WA 98155-5279 |
| Mailing Address |
621 N 179th St Shoreline WA 98133-4727 |
| Practice Telephone | 2064014639 |
| Mailing Telephone | 2064014639 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
60904560 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1539 NE 177TH ST STE B |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-5279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295369148 | Randi Pedigo | Counselor | 1516 N 155th St, Shoreline, WA 98133-6002 | 2020-03-01 |
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1679069264 | Shobana Nuland | Counselor | 134 Nw 183rd St, Shoreline, WA 98177-3440 | 2018-07-06 |
| 1053806646 | Samantha Supit | Counselor | 1314 N 152nd St Apt F, Shoreline, WA 98133-6283 | 2018-06-26 |
| 1821501081 | John Martin Ramsdell | Counselor | 731 N 148th St, Shoreline, WA 98133-6506 | 2017-11-09 |
| 1063921120 | Genevieve Louise Becker | Counselor | 132 Nw 195th St, Shoreline, WA 98177 | 2017-09-21 |
| 1396272563 | Kimberly Michelle Van De Water | Counselor | 1424 Ne 155th St Ste 203, Shoreline, WA 98155-7104 | 2017-05-17 |
| 1952774671 | Jason Apple | Counselor | 20103 20th Ave Nw, Shoreline, WA 98177-2221 | 2015-11-03 |
| 1477965572 | Eliza Christine Baughn | Counselor | 16849 Palatine Ave N, Shoreline, WA 98133-5252 | 2014-05-22 |
| 1700209921 | Ann Elizabeth Gonzalez | Counselor | 17962 Midvale Ave. N, #223, Shoreline, WA 98133 | 2014-01-23 |
| Find all providers in SHORELINE | ||||
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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.