CRYSTAL MAZAC (NPI# 1366913519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366913519 |
| Entity Type | Individual |
| Full Name | CRYSTAL MAZAC |
| Practice Address |
7972 Maple Ave Se Snoqualmie WA 98065 |
| Practice Telephone | 4252920743 |
| Mailing Telephone | 4252920743 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CG60854932 | 05 |
| Street Address |
7972 MAPLE AVE SE |
| City | SNOQUALMIE |
| State | WA |
| Zip Code | 98065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346437225 | Chad Perman | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2007-09-25 |
| 1922653898 | Asuncion Marquez | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-08-07 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1033771811 | Gabrielle Burrell | Community Health Worker | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-07-02 |
| 1891350757 | Veronica Lopez | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-05-07 |
| 1942865951 | Anna Lizabeth Biddle | Peer Specialist | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-05-06 |
| 1326502212 | Susan Lynn Jacobs-brewer | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-01-25 |
| 1881167724 | Dallas L Blenz | Peer Specialist | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-01-03 |
| 1093286221 | Rob Rowland-dunn | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2018-12-16 |
| 1053888073 | Frank Jones | Case Manager/Care Coordinator | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
| 1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
| 1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
| 1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
| 1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
| 1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
| Find all providers in zip 98065 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
| 1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
| 1568665578 | Tracy Ann Johnson | Counselor | 7420 Better Way Se, Snoqualmie, WA 99065 | 2007-06-07 |
| 1083212070 | Lauren E Mckeever | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065-9680 | 2020-10-13 |
| 1609410935 | Suzanne Marie Johnson | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065-9680 | 2019-10-30 |
| 1922653898 | Asuncion Marquez | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-08-07 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1891350757 | Veronica Lopez | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-05-07 |
| 1326502212 | Susan Lynn Jacobs-brewer | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2019-01-25 |
| 1093286221 | Rob Rowland-dunn | Counselor | 7972 Maple Ave Se, Snoqualmie, WA 98065 | 2018-12-16 |
| Find all providers in SNOQUALMIE | ||||
| City | SNOQUALMIE |
| Zip Code | 98065 |
Please comment or provide details below to improve the information on CRYSTAL MAZAC.
| 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.