MS. ALYSSA NICOLE ABRENA FONTANILLA (NPI# 1518588722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518588722 |
| Entity Type | Individual |
| Full Name | MS. ALYSSA NICOLE ABRENA FONTANILLA |
| Practice Address |
1025 S 3rd St Renton WA 98057-2765 |
| Mailing Address |
4704 Ne 21st St Renton WA 98059 |
| Practice Telephone | 4252715600 |
| Mailing Telephone | 4253511316 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1025 S 3RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98057-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558796 | Oleg Solovey | Counselor | 1025 S 3rd St, Renton, WA 98057-2765 | 2020-05-06 |
| 1285299966 | Bobby Rey Gonzales | Counselor | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-05-07 |
| 1053875559 | Olivia Waham | Counselor | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-01-29 |
| 1578037065 | Alex Rabern | Student in an Organized Health Care Education/Training Program | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-01-17 |
| 1154895688 | Leslie Ann Jensen Martin | Marriage & Family Therapist | 1025 S 3rd St, Renton, WA 98057-2765 | 2019-01-17 |
| 1386115434 | Benjamin Mason Judy | Counselor | 1025 S 3rd St, Renton, WA 98057 | 2018-12-16 |
| 1356812036 | Alissa S Schieche | Counselor | 1025 S 3rd St, Renton, WA 98057-2765 | 2018-12-06 |
| 1407326341 | Agnieszka Chmielewska | Marriage & Family Therapist | 1025 S 3rd St, Renton, WA 98057-2765 | 2018-12-04 |
| 1316413644 | Nicolle Atchison | Marriage & Family Therapist | 1025 S 3rd St, Renton, WA 98057-2765 | 2018-10-14 |
| 1194200444 | Tiffany Marx | Social Worker | 1025 S 3rd St, Renton, WA 98057-2765 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706456 | Therapeuo LLC | Counselor | 16503 Se 171st Pl, Renton, WA 98058-9589 | 2020-09-28 |
| 1033730254 | Sandra Martinez | Counselor | 17728 134th Ln Se, Renton, WA 98058-6818 | 2020-04-28 |
| 1174159495 | Anna Higgins | Counselor | 1200 Grant Ave S Apt X201, Renton, WA 98055-3099 | 2020-03-18 |
| 1881233328 | Hannah Mae Bergeron | Counselor | 15617 Se 173rd St, Renton, WA 98058-9121 | 2020-01-01 |
| 1609426030 | Robert Arthur Martin Jr. | Counselor | 15 S Grady Way Ste 241, Renton, WA 98057-3209 | 2019-09-17 |
| 1417509068 | Jamila Bates | Counselor | 360 Taylor Ave Nw Apt 311, Renton, WA 98057-5148 | 2019-07-14 |
| 1982261400 | Makaela M Hayward | Counselor | 1025 S 3rd St Ste B, Renton, WA 98057-2765 | 2019-05-20 |
| 1447721089 | Alice Coleman | Counselor | 15 S Grady Way Ste 246, Renton, WA 98057-3209 | 2018-12-07 |
| 1033636147 | Masako Mcbride | Counselor | 1200 Sw 27th St # D1e01, Renton, WA 98057-2603 | 2017-08-29 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| Find all providers in RENTON | ||||
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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.