TERA JOYCE PHILLIPS (NPI# 1306314349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306314349 |
| Entity Type | Individual |
| Full Name | TERA JOYCE PHILLIPS |
| Credential | CDP |
| Practice Address |
112 S Solmar Dr Sequim WA 98382 |
| Mailing Address |
112 S Solmar Dr Sequim WA 98382-7522 |
| Practice Telephone | 3604060794 |
| Mailing Telephone | 3604060794 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60783252 | WA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60185869 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 884 W Park Ave, Port Townsend, WA 983682273 | 3603850321 | 3603795534 |
| Street Address |
112 S SOLMAR DR |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
| 1831482959 | Barbara Solomon | Psychoanalyst | 4923 Happy Valley Road, Sequim, WA 98382 | 2011-05-23 |
| Find all providers in zip 98382 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755206 | David Alonzo Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1417563347 | Amber Lynn Freeman | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-09-16 |
| 1578185112 | Jenny Lynn Iredale | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2020-05-16 |
| 1730740168 | Tami Frederick- Maupin | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2019-06-26 |
| 1528534070 | Justin Howie Hill | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-22 |
| 1992271126 | Sharon Edythe Schubert | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2018-10-15 |
| 1023543584 | Rebecca Joann Rael | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-21 |
| 1144754748 | Laura Lestage | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-20 |
| 1588198378 | Melissa Marie Waller | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-18 |
| 1164834461 | Candace Burkhardt | Counselor | 808 N 5th Ave, Sequim, WA 98382-3045 | 2014-05-21 |
| Find all providers in SEQUIM | ||||
Please comment or provide details below to improve the information on TERA JOYCE PHILLIPS.
| 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.