JEFFREY LANE MITCHELL (NPI# 1689143836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689143836 |
| Entity Type | Individual |
| Full Name | JEFFREY LANE MITCHELL |
| Credential | CP00002941 |
| Practice Address |
611 12th Ave S Seattle WA 98144-2007 |
| Practice Telephone | 2068344029 |
| Practice Fax Number | 2068344091 |
| Mailing Telephone | 2068344029 |
| Mailing Fax Number | 2068344091 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00002941 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266042 | Jeffrey R Mitchell | Surgery | 363 Fremont Street, Suite 203, Battle Creek, MI 49017-3398 | 2006-10-06 |
| 1427149277 | Jeffrey Russell Mitchell | Chiropractor | 1918 Broadwater Ave, Billings, MT 59102-4867 | 2006-09-27 |
| 1750495206 | Jeffrey A Mitchell | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2006-08-19 |
| 1306873328 | Jeffrey Alan Mitchell | Chiropractor | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2006-06-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1316443054 | Jeffrey Mitchell | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-04-02 |
| 1114307188 | Jeffrey L Mitchell | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-04 |
| 1306270319 | Jeffrey David Mitchell | Occupational Therapist | 621 W Micheltorena St, Santa Barbara, CA 93101-4195 | 2013-08-26 |
| 1912219296 | Jeffrey L Mitchell II | Podiatrist | 1413 Hatcher Ln, Columbia, TN 38401-3535 | 2010-07-02 |
| Street Address |
611 12TH AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743106 | Debra Martha Fischer | Nurse Practitioner | 611 12th Ave S, Seattle, WA 98144-1910 | 2006-01-04 |
| 1336773951 | Korlette Karmell Bird | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2020-02-24 |
| 1902430424 | Krista Denise Hanley | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2020-02-24 |
| 1205300316 | David Gehlbach-wilson | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2019-01-11 |
| 1942770409 | Kelly Leonora Russell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-27 |
| 1033688288 | Roberta L Fletcher | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1932674074 | Sarah Yankton Hill | Dentist | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-10-04 |
| 1053894519 | Colleen Olivia D'amico | Pharmacist | 611 12th Ave S, Seattle, WA 98144 | 2018-09-11 |
| 1760994370 | Melinda Garay | Registered Nurse | 611 12th Ave S, Seattle, WA 98144-2007 | 2017-11-05 |
| 1184140691 | Meekyung Joo | Pharmacist | 611 12th Ave S, Seattle, WA 98144-1910 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675147 | Tory B Gildred | Counselor | 4328 Baker Ave Nw, Seattle, WA 98107-4349 | 2020-09-28 |
| 1104437185 | The Daniel Clinic, Pllc | Counselor | 1406 Western Ave Apt 509, Seattle, WA 98101-2062 | 2020-08-12 |
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1255972063 | Ryan Wathne | Counselor | 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 | 2019-10-02 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1730743717 | Adrienne Renee Burrington | Counselor | 1811 Eastlake Ave E, Seattle, WA 98102-4171 | 2019-04-25 |
| 1578034971 | Charles Quinn | Counselor | 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 | 2018-12-10 |
| 1689144628 | Sarah Katherine Laing | Counselor | 1811 Eastlake Ave, Seattle, WA 98101-1403 | 2018-12-03 |
| 1629546932 | Lawrence Millard Watson | Counselor | 325 9th Ave # 359896, Seattle, WA 98104-2420 | 2018-11-05 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| Find all providers in SEATTLE | ||||
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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.