JENNIFER CROKE PSYCHOTHERAPY (NPI# 1508260746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508260746 |
| Entity Type | Organization |
| Organization Name | JENNIFER CROKE PSYCHOTHERAPY |
| Other Organization Name | SOUTH SOUND COUNSELING |
| Practice Address |
31919 1st Ave S 203 Federal Way WA 98003-5236 |
| Practice Telephone | 2538394172 |
| Practice Fax Number | 2064292738 |
| Mailing Telephone | 2538394172 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | MS. JENNIFER CROKE (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9179757712 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | Y |
| Parent Organization Name | YES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LW 00009685 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Sound Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275904245 | Jennifer Croke Psychotherapy | Community/Behavioral Health | 5006 Varco Rd Ne, Tacoma, WA 98422-1806 | 2015-10-15 |
| Street Address |
31919 1ST AVE S 203 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417058041 | Jo Ann Peter | Physical Therapist | 31919 1st Ave S, #101, Federal Way, WA 98003-5236 | 2006-09-26 |
| 1104284819 | Susan Moser | Counselor | 31919 1st Ave S, Suite 203, Federal Way, WA 98003-5236 | 2016-02-09 |
| 1518346659 | Rebecca Kedigh | Student in an Organized Health Care Education/Training Program | 31919 1st Ave S, Suite 203, Federal Way, WA 98003-5236 | 2015-05-21 |
| 1811395635 | Jenna Fox | Counselor | 31919 1st Ave S, Ste 203, Federal Way, WA 98003-5236 | 2014-12-10 |
| 1023442951 | Jennifer J Mcdaniel | Counselor | 31919 1st Ave S, Suite 203, Federal Way, WA 98003-5236 | 2013-08-28 |
| 1528315033 | South Sound Counseling & Consultation | Counselor | 31919 1st Ave S, Suite 203, Federal Way, WA 98003-5236 | 2012-08-14 |
| 1124326368 | Christine Leah Keys | Counselor | 31919 1st Ave S, Suite 203, Federal Way, WA 98003-5236 | 2011-03-12 |
| 1457680670 | Cristina Austin | Psychologist | 31919 1st Ave S, Ste 203, Federal Way, WA 98003-5236 | 2009-12-17 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
| 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.