MINDY WIESE (NPI# 1376932533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376932533 |
| Entity Type | Individual |
| Full Name | MINDY WIESE |
| Credential | M.S., LMHC |
| Practice Address |
2321 Marine Dr. Ne Marysville WA 98271 |
| Practice Telephone | 3607164058 |
| Mailing Telephone | 3607164058 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60805758 | WA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
70766 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2321 MARINE DR. NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| 1831325687 | Tulalip Tribes of Washington | Community/Behavioral Health | 4033 76th Place Nw, Tulalip, WA 98271 | 2009-06-08 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774140 | Darius Deandre Moseley | Counselor | 1502 Buchanan St, Marysville, CA 95901-4629 | 2020-03-12 |
| 1821629577 | Andrea Shively | Counselor | 500 Olive St Ste 18, Marysville, CA 95901-5637 | 2020-01-31 |
| 1033680277 | Elrica Michelle Dy Po | Counselor | 4308 76th St. Ne, Marysville, WA 98270-3720 | 2018-12-16 |
| 1912489402 | Maria Josefa Abella Sloan II | Counselor | 1108 Alder Ave, Marysville, WA 98270-4320 | 2018-08-31 |
| 1144720475 | Deborah Paxton Kukahiko | Counselor | 1720 Grove St, Marysville, WA 98270-4328 | 2018-02-13 |
| 1265962435 | Bryan Eugene Skiles | Counselor | 1106 Columbia Ave Ste 150, Marysville, WA 98270-4347 | 2017-06-19 |
| 1003260225 | Jaime Werner | Counselor | 4412 149th St Ne, Marysville, WA 98271-8976 | 2016-04-14 |
| 1245603117 | Jory Cooper | Counselor | 12601 54th Ave Ne, Marysville, WA 98271-9003 | 2015-11-02 |
| 1104213925 | Wings Enrichment Center | Counselor | 729 S Walnut St, Marysville, OH 43040-1643 | 2015-04-20 |
| 1134516149 | Ring Counseling Services, LLC | Counselor | 1326 5th St, Suite C1a, Marysville, WA 98270-4517 | 2015-04-17 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
Please comment or provide details below to improve the information on MINDY WIESE.
| 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.