LISSA LEE FRYXELL (NPI# 1568946366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568946366 |
| Entity Type | Individual |
| Full Name | LISSA LEE FRYXELL |
| Credential | CDPT |
| Practice Address |
3805 108th Ave Ne Ste 204 Bellevue WA 98004-7613 |
| Practice Telephone | 4252421713 |
| Practice Fax Number | 4252420387 |
| Mailing Telephone | 4252421713 |
| Mailing Fax Number | 4252420387 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60808353 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3805 108TH AVE NE STE 204 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1902410061 | Susan Elizabeth Pavlansky | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-09-04 |
| 1669086823 | Genoveva Moldovan | Student in an Organized Health Care Education/Training Program | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-09-04 |
| 1528679099 | Sarah L Klausner | Student in an Organized Health Care Education/Training Program | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-08-10 |
| 1508484361 | Erin Carter | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-07-08 |
| 1912546201 | Marcola Joy Nixon | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2020-01-03 |
| 1528600475 | Emily Martin | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-10-11 |
| 1962053520 | Remy Nelson | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-09-25 |
| 1083262356 | Thomas Alan Towler | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2019-08-29 |
| 1831664317 | Alexandra Vinson | Case Manager/Care Coordinator | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004-7613 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| 1306392022 | Zan Xu Dds of Bellevue Pllc | Clinic/Center | 1160 106th Ave Ne, Bellevue, WA 98004 | 2016-09-01 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1043834005 | All Communities Outreach Services | Counselor | 112 E Mission Avenue, Bellevue, NE 68005-5023 | 2020-06-04 |
| 1225659832 | Am Counseling and Consulting | Counselor | 207 Galvin Rd N, Bellevue, NE 68005-4898 | 2020-05-05 |
| 1225699226 | Lloyd Emsley Shattuck | Counselor | 13037 Ne Bel Red Rd Ste 102a, Bellevue, WA 98005-2651 | 2019-06-21 |
| 1013577568 | Darren Barry | Counselor | 13037 Ne Bel Red Rd, Bellevue, WA 98005-2618 | 2019-06-17 |
| 1831665330 | Maria Francisca Cardoso | Counselor | 14225 Se 4th St Apt B, Bellevue, WA 98007-6627 | 2018-10-23 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1649728379 | Genereux Counseling Services LLC | Counselor | 1508 J F Kennedy Dr, Suite 106, Bellevue, NE 68005-3727 | 2016-09-11 |
| 1144675976 | Nicolette Stenger | Counselor | 12835 Bel Red Rd Ste 145, Bellevue, WA 98005-2625 | 2016-04-29 |
| Find all providers in BELLEVUE | ||||
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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.