MR. P ROGER HILLERSTROM (NPI# 1306919733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306919733 |
| Entity Type | Individual |
| Full Name | MR. P ROGER HILLERSTROM |
| Credential | M.A., L.M.H.C. |
| Practice Address |
555 Dayton St Suite C Edmonds WA 98020-3601 |
| Practice Telephone | 4257744673 |
| Practice Fax Number | 4257740690 |
| Mailing Telephone | 4257744673 |
| Mailing Fax Number | 4257740690 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00005938 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE PROVIDER NO. | 5842HI | 01 |
| Street Address |
555 DAYTON ST SUITE C |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725263 | Jacqueline A Mccoy | Registered Nurse | 555 Dayton St, Ste C, Edmonds, WA 98020 | 2006-01-18 |
| 1265820187 | Kristi L Dahlman, Ms, Lmhc, Inc | Counselor | 555 Dayton St, Suite A2, Edmonds, WA 98020-3601 | 2014-12-30 |
| 1972866820 | Emily Ruth Lovelett | Massage Therapist | 555 Dayton St, Suite G, Edmonds, WA 98020-3601 | 2012-06-15 |
| 1265673420 | Kendra Erin Higa | Marriage & Family Therapist | 555 Dayton St, Suite H, Edmonds, WA 98020-3601 | 2009-03-18 |
| 1962619866 | Matthew Daniel Flugstad | Dentist | 555 Dayton St, Suite B, Edmonds, WA 98020 | 2007-05-17 |
| 1346384013 | Glenn T Goodwin | Clinical Neuropsychologist | 555 Dayton St, Suite E, Edmonds, WA 98020-3601 | 2007-02-16 |
| 1841349446 | Virginia M. Buzzell | Psychologist | 555 Dayton St, Ste D, Edmonds, WA 98020-3476 | 2007-01-10 |
| 1134281462 | Claude Oliver Mccoy | Counselor | 555 Dayton St, Suite C, Edmonds, WA 98020-3601 | 2006-12-14 |
| 1760552970 | Judy Ann Craft | Massage Therapist | 555 Dayton St, Suite G, Edmonds, WA 98020-3601 | 2006-11-08 |
| 1437236825 | Doni A. Kwak | Psychologist | 555 Dayton St, Suite J-1, Edmonds, WA 98020-3601 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107377 | Nicole Ivancovich | Counselor | 9523 232nd St Sw, Edmonds, WA 98020-5028 | 2020-05-31 |
| 1790305407 | Rhonda Furlong | Counselor | 7907 212th St Sw Ste 220, Edmonds, WA 98026-7541 | 2020-04-22 |
| 1114551348 | Denise Ibrahim | Counselor | 7631 212th St Sw Ste 101a, Edmonds, WA 98026-7565 | 2020-02-26 |
| 1407493034 | Ian Jacobson | Counselor | 131 3rd Ave N Ste 103, Edmonds, WA 98020-3208 | 2019-12-02 |
| 1396200275 | Stacie Apple Counseling Pllc | Counselor | 406 Main St Ste 111, Edmonds, WA 98020-3166 | 2019-02-05 |
| 1164993416 | Deborah Mccaughan Fields | Counselor | 7907 212th St Sw Ste 209a, Edmonds, WA 98026-7540 | 2018-12-16 |
| 1265910566 | Cherezade Smalley | Counselor | 21727 76th Ave W Ste J, Edmonds, WA 98026-7545 | 2018-07-30 |
| 1831615822 | Paul Gebben | Counselor | 100 2nd Ave S Ste 140, Edmonds, WA 98020-8439 | 2017-08-21 |
| 1588106256 | Barb A Anderson, Lmhc, LLC | Counselor | 9331 244th St Sw Apt T304, Edmonds, WA 98020-7545 | 2016-11-13 |
| 1386192078 | Kristin Ott | Counselor | 23317 Edmonds Way, Apt 1, Edmonds, WA 98026-8689 | 2016-09-12 |
| Find all providers in EDMONDS | ||||
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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.