LYDIA PECKOVER (NPI# 1639663560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639663560 |
| Entity Type | Individual |
| Full Name | LYDIA PECKOVER |
| Practice Address |
1610 Grover St Ste B-11 Lynden WA 98264-1539 |
| Practice Telephone | 4252005593 |
| Mailing Telephone | 4252005593 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LH60911222 | WA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | MC60686799 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Dupont St Ste 2h, Bellingham, WA 982253100 | 4252005593 | |
| 811 Madison St, Everett, WA 98203 | 4252124200 | 4252124201 |
| Street Address |
1610 GROVER ST STE B-11 |
| City | LYNDEN |
| State | WA |
| Zip Code | 98264-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041412 | Family Care Network, Pllc | Family Medicine | 1610 Grover St., Ste. D-1, Lynden, WA 98264 | 2019-06-06 |
| 1619499753 | David Michael Grambo | Physical Therapist | 8862 Bender Rd #101, Lynden, WA 98264 | 2017-07-11 |
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1295151900 | Duane Korthuis | Specialist/Technologist | 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 | 2014-03-06 |
| 1255649869 | James Kimo Jandoc | Physical Medicine & Rehabilitation | 1610 Grover St Ste C3, Lynden, WA 98264 | 2010-09-16 |
| 1417288101 | Amanda Shannon | Counselor | 506 Grover St Ste 112, Lynden, WA 98264 | 2010-01-20 |
| 1033349048 | Brenda Jean Jensen | Massage Therapist | 104 Grover St, Lynden, WA 98264 | 2009-07-24 |
| 1295980704 | Jeannett M. Penner | Physical Therapist | 8862 Bender Road, Suite 101, Lynden, WA 98264 | 2008-11-25 |
| 1992917884 | Olson Family Chiropractic, Inc | Chiropractor | 8304 Guide Meridian Rd., Lynden, WA 98264 | 2007-05-04 |
| 1477678209 | Lynden Family Chiropractic LLC | Chiropractor | 105-5th Street, Suite 105, Lynden, WA 98264 | 2007-03-20 |
| Find all providers in zip 98264 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750817 | Nw Family Psychology Rock Pointe | Counselor | 1212 N Washington St Ste 105, Spokane, WA 99201-2441 | 2020-11-03 |
| 1790385821 | Joshua Bigner | Counselor | 201 S Tower Ave Apt E2, Centralia, WA 98531-4055 | 2020-10-28 |
| 1336749589 | Paul Michael Stayback | Counselor | 16668 132nd St Se, Snohomish, WA 98290-6767 | 2020-10-27 |
| 1154920734 | Kayla Robin Daffon | Counselor | 2464 S College St Apt 1, Seattle, WA 98144-4764 | 2020-10-23 |
| 1306445614 | Danica Thomas | Counselor | 415 S 13th St, Tacoma, WA 98402-3415 | 2020-10-19 |
| 1184223463 | Mai Okano | Counselor | 929 N 130th St, Seattle, WA 98133-7500 | 2020-10-19 |
| 1497353122 | Melissa Hess | Counselor | 315 Benham St, Richland, WA 99352-4441 | 2020-10-14 |
| 1083212922 | Kathryn R Meckle | Counselor | 19350 Grand Mound Way Sw, Rochester, WA 98579-9218 | 2020-10-13 |
| 1801493960 | Velles Counseling Services LLC | Counselor | 2209 Rockefeller Ave, Everett, WA 98201-2841 | 2020-10-02 |
| 1073120218 | Tyus X Reed | Counselor | 9103 62nd Ave E, Puyallup, WA 98371-6252 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.