MR. MARC COTTRELL (NPI# 1609945500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609945500 |
| Entity Type | Individual |
| Full Name | MR. MARC COTTRELL |
| Practice Address |
4807 196th St Sw Ste 220 Lynnwood WA 98036-6409 |
| Mailing Address |
4631 N Paulina St Apt 308 Chicago IL 60640-4597 |
| Practice Telephone | 4258355878 |
| Mailing Telephone | 2063354127 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | PSY1000981 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGISTERED COUNSELOR | RC00054529 | 01 |
| Street Address |
4807 196TH ST SW STE 220 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186026 | Jolene A Kron | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2006-08-01 |
| 1447808951 | Richard Luna | Student in an Organized Health Care Education/Training Program | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2019-08-28 |
| 1023572484 | Leslie Catherine Olivia Bourgoin | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2019-01-29 |
| 1417435116 | Shannon Elizabeth Dilley | Social Worker | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2018-08-03 |
| 1982181384 | Sara Grace Carter | Psychologist | 4807 196th St Sw Ste 220, Lynnwood, WA 98036 | 2018-07-27 |
| 1033665203 | Mary Rice | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2016-08-28 |
| 1093109076 | Franc Nuriel Kahn | Marriage & Family Therapist | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2015-03-26 |
| 1871985663 | Alexander Johnson | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2015-03-03 |
| 1548695505 | Gail M. Mcdonell | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2013-09-10 |
| 1447567052 | Jason Lane Corbin | Counselor | 4807 196th St Sw Ste 220, Lynnwood, WA 98036-6409 | 2010-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1083133490 | Nicole Rebecca Liu Johnson | Psychologist | 20826 2nd Ave W, Lynnwood, WA 98036-7256 | 2017-09-18 |
| 1538409271 | Bill Heusler, Psyd, LLC | Psychologist | 19221 36th Ave W Ste 208, Lynnwood, WA 98036-5795 | 2013-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726385 | Shawna Palmer | Psychologist | 16450 Se 48th Pl, Bellevue, WA 98006-5820 | 2020-09-29 |
| 1124638333 | Natalie Elyse Schwartz | Psychologist | 928 Nw 52nd St Unit A, Seattle, WA 98107-3648 | 2020-08-03 |
| 1346865938 | Rooted Psychology | Psychologist | 2109 W Dolarway Rd, Ellensburg, WA 98926-9367 | 2020-06-10 |
| 1194355149 | Hillary Schaefer | Psychologist | 10503 83rd Ave Sw, Lakewood, WA 98498-5662 | 2020-01-17 |
| 1679118434 | Huanyi Liu | Psychologist | 14910 Pacific Ave S, Tacoma, WA 98444-4657 | 2019-11-14 |
| 1679116321 | Aspinwall Therapy and Assessment LLC | Psychologist | 2470 Westlake Ave N Ste 101, Seattle, WA 98109-2282 | 2019-10-25 |
| 1851933105 | Joshua Ireland | Psychologist | 307 W Cota St, Shelton, WA 98584-2265 | 2019-10-08 |
| 1932759842 | Kevin James Mckittrick | Psychologist | 317 M.l.k. Jr. Way, Tacoma, WA 98403-0214 | 2019-09-13 |
| 1972160265 | Ariel Larson Clinical Psychology | Psychologist | 1155 N State St Ste 316, Bellingham, WA 98225-5024 | 2019-05-22 |
| 1356906853 | Baci Counseling, LLC | Psychologist | 3707 Smithers Ave S, Renton, WA 98055-6808 | 2019-05-09 |
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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.