SHARON MCKELLERY (NPI# 1477177467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477177467 |
| Entity Type | Individual |
| Full Name | SHARON MCKELLERY |
| Practice Address |
4210 20th St E Ste B&c Fife WA 98424-1830 |
| Mailing Address |
2701 N 16th St Ste 316 Phoenix AZ 85006-1266 |
| Practice Telephone | 2532355216 |
| Mailing Telephone | 6026501212 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60837536 | WA | Behavioral Health & Social Service Providers |
| Street Address |
4210 20TH ST E STE B&C |
| City | FIFE |
| State | WA |
| Zip Code | 98424-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991733 | Deanne Plunkett | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-13 |
| 1326664087 | Kari Keane | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2020-06-18 |
| 1598389736 | Megan Gillman | Social Worker | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2020-06-03 |
| 1760019566 | Christyn Don Modica | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2020-03-24 |
| 1790349603 | Janene Logue | Student in an Organized Health Care Education/Training Program | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2019-04-25 |
| 1598236655 | Lisa Culbertson | Peer Specialist | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-12-16 |
| 1477022440 | Mark D Stevens | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-19 |
| 1306315866 | Carol J St. Pierre | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-14 |
| 1003385501 | Michele Mbute | Peer Specialist | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-14 |
| 1790254233 | Amy Hamilton | Peer Specialist | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447265 | Rachael E Vosika | Peer Specialist | 4210 20th St E Suite B&c, Fife, WA 98424 | 2018-11-27 |
| 1477023026 | Julie Ann Sawyer | Registered Nurse | 2150 Freeman Road East Ste 1, Fife, WA 98424 | 2018-11-27 |
| 1831668409 | Dorothy J Pierce | Counselor | 4210 20th St E Ste C, Fife, WA 98424 | 2018-11-13 |
| 1730606328 | Caitlin Anne Gallup | Specialist/Technologist | 4703 Pacific Hwy E Ste B, Fife, WA 98424 | 2017-08-24 |
| 1497121420 | Lane Whitaker Valentine | Massage Therapist | 6523 20th St E #4, Fife, WA 98424 | 2015-08-13 |
| 1609250646 | Enna Alexandra Codekas | Speech-Language Pathologist | 535 Dock Street, Suite 104, Tacoma, WA 98424 | 2015-07-18 |
| 1457608002 | Timothy Edward Day | Pharmacist | 522 64th Avenue Ct E, Fife, WA 98424 | 2012-08-13 |
| 1861768400 | Ryan Milo Glover | Pharmacist | 3700 Pacific Highway East, Suite 100, Fife, WA 98424 | 2012-03-28 |
| 1962794719 | Hongbunareth Hirata | Massage Therapist | 6329 Discovery St E, Fife, WA 98424 | 2011-05-12 |
| 1811155930 | Mvp Physical Therapy, Inc. | Massage Therapist | 502 54th Ave. E., Fife, WA 98424 | 2008-05-27 |
| Find all providers in zip 98424 | ||||
| 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 |
|---|---|---|---|---|
| 1164991733 | Deanne Plunkett | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2018-11-13 |
| 1932717733 | Tommy Soeum | Counselor | 2150 Freeman Rd E, Fife, WA 98424-3776 | 2020-07-17 |
| 1063020089 | Christy Shutt | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2020-07-15 |
| 1326664087 | Kari Keane | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2020-06-18 |
| 1083230767 | Aana Sundling | Counselor | 2150 Freeman Rd E, Fife, WA 98424-3776 | 2020-06-18 |
| 1831714609 | Sean Loucks | Counselor | 2150 Freeman Rd E, Fife, WA 98424-3776 | 2020-06-08 |
| 1992320766 | Laura Love | Counselor | 2150 Freeman Rd E, Fife, WA 98424-3776 | 2020-06-08 |
| 1376167619 | Jennifer Jane Beaman-mcgee | Counselor | 2150 Freeman Rd E, Fife, WA 98424-3776 | 2020-06-02 |
| 1760019566 | Christyn Don Modica | Counselor | 4210 20th St E Ste B&c, Fife, WA 98424-1830 | 2020-03-24 |
| 1346882271 | Lawrence Waiyaki Njau | Counselor | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2019-10-11 |
| Find all providers in FIFE | ||||
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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.