TAVON SHELLEY (NPI# 1417571415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417571415 |
| Entity Type | Individual |
| Full Name | TAVON SHELLEY |
| Practice Address |
33480 13th Pl S Federal Way WA 98003-6357 |
| Practice Telephone | 2532857101 |
| Mailing Telephone | 2532857101 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
33480 13TH PL S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1871194993 | Christine Karanja | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-11-04 |
| 1407457526 | Chasity Riddle | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-11-04 |
| 1457969958 | Nicole Mcbride | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-07-21 |
| 1053939579 | Steffi Miesha Johnson | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-07-10 |
| 1043834047 | Margie Shin | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-04 |
| 1609490606 | Cameron Rowe | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-04 |
| 1093339251 | Ronald Cabanilla | Licensed Practical Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-03 |
| 1477177954 | Henry E Paul | Counselor | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-01 |
| 1457975930 | Mary Njoyoge | Registered Nurse | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| 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 |
|---|---|---|---|---|
| 1538708540 | Chisom Chiedu-okoara | Counselor | 33405 8th Ave S Unit 200, Federal Way, WA 98003-6639 | 2019-12-23 |
| 1831665488 | Spectrum Psychological Services | Counselor | 33305 1st Way S Ste B212, Federal Way, WA 98003-6259 | 2018-10-22 |
| 1255806188 | Gail Warner | Counselor | 33505 13th Pl S Ste C, Federal Way, WA 98003-6337 | 2018-10-08 |
| 1497255863 | Marinah Bentley | Counselor | 35703 16th Ave S Apt H102, Federal Way, WA 98003-7387 | 2018-02-12 |
| 1174984124 | Linh Wampler | Counselor | 815 Sw 355th Ct, Federal Way, WA 98023-8130 | 2016-03-17 |
| 1649642042 | Susana Beatriz Puricelli | Counselor | 30209 21st Ave S, Federal Way, WA 98003-4249 | 2015-10-24 |
| 1841547403 | Jessica A Scales | Counselor | 202 S 348th St Ste 2, Federal Way, WA 98003 | 2012-08-13 |
| 1215230867 | Amelia M.j. Carroll | Counselor | 402 S 333rd St Ste 133, Federal Way, WA 98003-6073 | 2010-12-20 |
| 1053570739 | Michael Todd Grove | Counselor | 31719 50th Ter Sw, #r202, Federal Way, WA 98023-3764 | 2008-06-06 |
| 1952585820 | Leila C Faber | Counselor | 2902 Sw Dash Point Rd, Federal Way, WA 98023-2348 | 2007-12-27 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.