MISS JESSA NICOLE BAME (NPI# 1629638150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629638150 |
| Entity Type | Individual |
| Full Name | MISS JESSA NICOLE BAME |
| Credential | MSW |
| Practice Address |
919 S 2nd Ave Walla Walla WA 99362-4114 |
| Practice Telephone | 5095296036 |
| Practice Fax Number | 5095296038 |
| Mailing Telephone | 5095296036 |
| Mailing Fax Number | 5095296038 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| 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) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
919 S 2ND AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900494 | Juan Valdez | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-07-30 |
| 1689209512 | Autumn Ciera Boyle | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2020-03-11 |
| 1992330146 | Heather Vigil | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2020-03-09 |
| 1508322629 | Nicole Husted | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2019-02-13 |
| 1245704824 | Robin E Noble | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2019-01-16 |
| 1548738800 | Jonathan Taylor Rood | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-11-05 |
| 1962980896 | Patrick Charles Flores | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-08-02 |
| 1982182846 | Vanessa Brooke Lightfoot | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-08-02 |
| 1700364080 | Brianne C Peters | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900494 | Juan Valdez | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2018-07-30 |
| 1659699312 | George Michael Koll | Counselor | 2316 Eastgate North Str., Suite 170, Walla Walla, WA 99362 | 2010-05-05 |
| 1124265251 | Cynthia Witman | Counselor | 5 W. Alder, #316, Walla Walla, WA 99362-2863 | 2009-01-12 |
| 1790831600 | Serenity Point Counseling Services | Counselor | 705 W Rose St Ste 1, Walla Walla, WA 99362-1762 | 2007-01-25 |
| 1902901002 | Northwest Counseling Solutions | Counselor | 315 E Main St Ste A, Walla Walla, WA 99362-2003 | 2006-09-13 |
| 1346345436 | Lisa Smyth | Counselor | 30 W Main St Ste 304, Walla Walla, WA 99362-2872 | 2006-09-13 |
| 1689209512 | Autumn Ciera Boyle | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2020-03-11 |
| 1992330146 | Heather Vigil | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2020-03-09 |
| 1003449695 | Liam C Wall | Counselor | 1313 N 13th Ave, Walla Walla, WA 99362-8817 | 2020-02-21 |
| 1508322629 | Nicole Husted | Counselor | 919 S 2nd Ave, Walla Walla, WA 99362-4114 | 2019-02-13 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on MISS JESSA NICOLE BAME.
| 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.