BRENDA M THORSON (NPI# 1588146005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588146005 |
| Entity Type | Individual |
| Full Name | BRENDA M THORSON |
| Credential | SUDP |
| Practice Address |
6700 Martin Way E Ste 117 Olympia WA 98516-5586 |
| Practice Telephone | 3604136910 |
| Mailing Telephone | 3604136910 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-11-04 |
| 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) |
60823800 | WA | Behavioral Health & Social Service Providers |
| Street Address |
6700 MARTIN WAY E STE 117 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516-5586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871729491 | Evergreen Treatment Services | Clinic/Center | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2009-06-10 |
| 1962042184 | Jody Lynn Heller | Student in an Organized Health Care Education/Training Program | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2020-01-15 |
| 1093369647 | Brandon A Thomas | Technician | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2019-07-31 |
| 1366954471 | Tiffany P Woelfel | Social Worker | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
| 1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
| 1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
| 1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
| 1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
| 1215380787 | Alicia Rose | Counselor | 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 | 2016-07-19 |
| 1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| Find all providers in OLYMPIA | ||||
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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.