MR. JAMES RICHARD MCCORMACK (NPI# 1295254092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295254092 |
| Entity Type | Individual |
| Full Name | MR. JAMES RICHARD MCCORMACK |
| Credential | MA, LMFTA, CCHT |
| Practice Address |
851 6th St Ste 135 Kitsap Hypnosis Center LLC Bremerton WA 98337 |
| Practice Telephone | 3604712302 |
| Mailing Telephone | 3604712302 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MG60982950 | WA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | CL60530579 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MG60982950 | WA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MG60982950 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA DEPARTMENT OF HEALTH | CL60530579 | 01 |
| WA | WA DEPARTMENT OF HEALTH | HP60464333 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487102596 | James Mccormack | Registered Nurse | 413 Dundee Rd, Texarkana, AR 71854-9768 | 2016-09-18 |
| 1689216921 | James Joseph Mccormack | Physical Therapy Assistant | 3818 Decker Dr, Baytown, TX 77520-1662 | 2019-10-08 |
| 1962737015 | James B Mccormack | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2009-10-07 |
| Street Address |
851 6TH ST STE 135 KITSAP HYPNOSIS CENTER LLC |
| City | BREMERTON |
| State | WA |
| Zip Code | 98337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1083199285 | Jacob Lawrence Barnes | Behavioral Analyst | 1709 13th St, Bremerton, WA 98337 | 2018-10-03 |
| 1629593728 | Tina Mae Davis-munn | Registered Nurse | 345 6th St, Suite 300, Bremerton, WA 98337 | 2017-08-09 |
| 1962927384 | Linda Louise Tourigny | Registered Nurse | 345 6th St Suite 300, Bremerton, WA 98337 | 2017-08-07 |
| 1417480609 | Diane Marie Sabo | Counselor | 843 6th Street, Suite 220 and 240, Bremerton, WA 98337 | 2017-04-05 |
| 1659792265 | Allan L Hablutzel | Dentist | 820 Pacific Ave., Suite 204, Bremerton, WA 98337 | 2013-12-27 |
| 1881979722 | Sidestix Ventures Usa | Durable Medical Equipment & Medical Supplies | 410 Ida St. West, Ste 201, Bremerton, WA 98337 | 2011-10-11 |
| 1346545829 | Doyle & Associates Chiropractic Clinic Inc Ps | Chiropractor | 603 Chester Avenue, Bremerton, WA 98337 | 2011-01-14 |
| 1285762856 | Tracee Arlene Costa | Massage Therapist | 911 Adele Rd., Bremerton, WA 98337 | 2007-03-02 |
| 1275645996 | Keith Rey Redd | Dentist | 930 Park Ave, Bremerton, WA 98337 | 2006-08-31 |
| Find all providers in zip 98337 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294029 | Chrissy Barlahan | Marriage & Family Therapist | 7633 Colony Ct Ne, Bremerton, WA 98311-9335 | 2018-05-03 |
| 1518309780 | Rulon J Hopkins II | Marriage & Family Therapist | 5336 Barefoot Ln Nw, Bremerton, WA 98312-9560 | 2013-07-29 |
| 1588850044 | Michael W Tebow | Marriage & Family Therapist | 555 Pacific Ave, Bremerton, WA 98337-1903 | 2007-09-19 |
| 1790993970 | David Wotruba | Marriage & Family Therapist | 2438 Snyder Ave, Bremerton, WA 98312-2920 | 2007-05-19 |
| 1053448183 | Gayle Renee Labissoniere | Marriage & Family Therapist | 285 5th St, Ste. 1-c, Bremerton, WA 98337-1881 | 2007-02-27 |
| 1518026764 | Evelyn (sunday) Mavis Farr | Marriage & Family Therapist | 742 Firglade Ct Nw, Bremerton, WA 98311-8992 | 2006-12-06 |
| 1174159065 | Timothy Neumann | Marriage & Family Therapist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2020-03-23 |
| 1295380681 | Serenity Family Therapy Inc | Marriage & Family Therapist | 7500 Old Military Rd Ne Ste 103, Bremerton, WA 98311-3242 | 2019-08-03 |
| 1437703261 | Serenity Family Therapy Inc | Marriage & Family Therapist | 7500 Old Military Rd Ne Ste 103, Bremerton, WA 98311-3242 | 2019-07-30 |
| 1326568247 | Lynn Phillips | Marriage & Family Therapist | 345 6th St, Bremerton, WA 98337-1858 | 2017-06-21 |
| Find all providers in BREMERTON | ||||
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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.