CAROLAYNE MOUTON (NPI# 1568016848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568016848 |
| Entity Type | Individual |
| Full Name | CAROLAYNE MOUTON |
| Credential | AAC |
| Practice Address |
3510 Steelhammer Dr Centralia WA 98531-4551 |
| Practice Telephone | 3606238020 |
| Practice Fax Number | 3606231072 |
| Mailing Telephone | 3606238020 |
| Mailing Fax Number | 3606231072 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG60877394 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3510 STEELHAMMER DR |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
| 1164034468 | Katelyn Dnae Sherrill | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-08-18 |
| 1740808641 | Cindy Sue Shaw | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1003434903 | Naomi Jean Hamilton | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1316561764 | Molly Kathleen Bryan | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-06-02 |
| 1346861002 | Tamie L. Mccrandall | Peer Specialist | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-05-04 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1366078651 | Elise Lenee Hirtzel | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1386270676 | Amy Michelle Dearing | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1730715020 | Timothy Barrett | Social Worker | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515917 | N W Pediatric Center, Inc. P.s. | Counselor | 1915 Cooks Hill Rd, Centralia, WA 98531-9073 | 2020-07-16 |
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1518505981 | Zachery E Hanke I | Counselor | 2428 W Reynolds Ave Ofc 185, Centralia, WA 98531-4554 | 2019-12-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1255807608 | Monica Doreen Rave | Counselor | 1126 S Gold St Ste 226, Centralia, WA 98531-3768 | 2018-10-23 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1538693684 | Katherine Thompson | Counselor | 2512 W Reynolds Ave, Centralia, WA 98531-4556 | 2017-04-15 |
| 1013457332 | Sydney Cummins | Counselor | 904 E Martin Luther Kind Drive, Centralia, IL 62801-3929 | 2017-03-06 |
| 1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
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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.