DUSTIN HOLDEN (NPI# 1629555263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629555263 |
| Entity Type | Individual |
| Full Name | DUSTIN HOLDEN |
| Practice Address |
1250 Se Commercial Dr College Place WA 99324 |
| Mailing Address |
Po Box 959 Yakima WA 98907-0959 |
| Practice Telephone | 5095754084 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194849935 | Dustin Holden | Marriage & Family Therapist | 8 N 2nd Ave E, Suite 310, Duluth, MN 55802-2102 | 2007-03-19 |
| Street Address |
1250 SE COMMERCIAL DR |
| City | COLLEGE PLACE |
| State | WA |
| Zip Code | 99324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1578170544 | Joshua Griffin | Social Worker | 1250 Se Commercial Dr, College Place, WA 99324-9721 | 2020-09-24 |
| 1922612357 | Mari Craddock | Peer Specialist | 1250 Se Commercial Dr, College Place, WA 99324-9721 | 2020-09-02 |
| 1336770536 | Alecksana Mallory | Social Worker | 1250 Se Commercial Dr, College Place, WA 99324-9721 | 2020-01-28 |
| 1649819483 | Miguel Lugo | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99324-9721 | 2019-12-26 |
| 1710456827 | Philip Coffeen | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99325 | 2018-11-19 |
| 1760950992 | Peter Beck | Counselor | 1250 Se Commercial Dr, College Place, WA 99325 | 2018-11-06 |
| 1013494640 | Amber Hopkins | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051415 | Carrie Jean White | Counselor | 56 N College Ave #2a, College Place, WA 99324 | 2018-01-24 |
| 1952824658 | Ashley Bergmann | Social Worker | 1928 George Washington Way, Apt L1, Richland, WA 99324 | 2017-07-25 |
| 1376081224 | Ariel Anderson | Registered Nurse | 1755 College Ave, College Place, WA 99324 | 2017-02-10 |
| 1770926644 | Richard Kearns | Registered Nurse | 800 Se Sentry Dr, College Place, WA 99324 | 2013-04-10 |
| 1619259009 | Debra Jean Maxted | Physical Therapy Assistant | 420 Se Myra Road, College Place, WA 99324 | 2011-09-13 |
| 1740470533 | Danny R. Croft | Denturist | 1298 Se 12th Street, College Place, WA 99324 | 2007-07-27 |
| 1316059983 | Mary Ellen Hustead | Social Worker | 325 Sprucewood Place, College Place, WA 99324 | 2006-08-31 |
| 1639158264 | Elizabeth Ann Wall | Nurse Practitioner | 722 South College Avenue, College Place, WA 99324 | 2006-01-12 |
| 1730489030 | David Royer | Dentist | 100 N College Ave, College Place, WA 99324 | 2010-11-02 |
| 1255460242 | Derek Rex Hayden | Chiropractor | 716 S College Ave, College Place, WA 99324 | 2007-03-05 |
| Find all providers in zip 99324 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612357 | Mari Craddock | Peer Specialist | 1250 Se Commercial Dr, College Place, WA 99324-9721 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PLACE |
| Zip Code | 99324 |
Please comment or provide details below to improve the information on DUSTIN HOLDEN.
| 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.