BOLD LIVING COUNSELING PLLC (NPI# 1710459672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710459672 |
| Entity Type | Organization |
| Organization Name | BOLD LIVING COUNSELING PLLC |
| Practice Address |
1495 Nw Gilman Blvd Ste 11 Issaquah WA 98027-5328 |
| Mailing Address |
8808 Venn Ave Se Snoqualmie WA 98065-5007 |
| Practice Telephone | 4254954163 |
| Mailing Telephone | 5626865516 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | MS. MELINDA BROOKE JOHNSON (CEO) |
| Authorized Official Telephone | 5626865516 |
| Authorized Official Credential | MA, LMFTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BOLD LIVING COUNSELING PLLC | 1495 Nw Gilman Blvd, Suite 11, Issaquah, WA 98027-5328 |
| Street Address |
1495 NW GILMAN BLVD STE 11 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366878332 | Dayspring Behavioral Health LLC | Counselor | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2013-09-22 |
| 1821632597 | Arise and Associates Pllc | Counselor | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-11-05 |
| 1942859061 | David N Porter | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-09-11 |
| 1538643184 | Resilient Connections, Pllc | Marriage & Family Therapist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2018-09-19 |
| 1760848477 | Katherine Butler | Counselor | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2016-01-11 |
| 1841667532 | Melinda Brooke Johnson | Marriage & Family Therapist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2015-08-28 |
| 1982086997 | Janet Moczulewski | Marriage & Family Therapist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2015-06-25 |
| 1962827535 | Kara Lynn Moscovitz | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808714 | Angelina Louise Charlotte Thomson | Marriage & Family Therapist | 75 Nw Dogwood St Ste B, Issaquah, WA 98027-3258 | 2020-07-16 |
| 1700370392 | Ian David Walters | Marriage & Family Therapist | 310 3rd Ave Ne Ste 102, Issaquah, WA 98027-3345 | 2018-06-18 |
| 1366827875 | Brandi Sue Defazio | Marriage & Family Therapist | 310 3rd Ave Ne Ste 118, Issaquah, WA 98027-3348 | 2015-07-26 |
| 1912384587 | Karen Betts | Marriage & Family Therapist | 545 Rainier Blvd N Ste 11, Issaquah, WA 98027-2806 | 2015-05-02 |
| 1992146518 | Janeen Mcguire Nelson | Marriage & Family Therapist | 17 Nw Alder Pl, Suite 204, Issaquah, WA 98027-3200 | 2013-07-11 |
| 1821435165 | Debra Kay Butler | Marriage & Family Therapist | 1595 Nw Gilman Blvd Ste 13, Issaquah, WA 98027-5329 | 2013-05-28 |
| 1619251170 | Scott Rutledge | Marriage & Family Therapist | 310 3rd Ave Ne Ste 109, Issaquah, WA 98027-3346 | 2011-10-03 |
| 1265694749 | Paula L Anderson | Marriage & Family Therapist | 3707bprovidence Point Dr Se D, Issaquah, WA 98029 | 2008-06-26 |
| 1710185145 | Catherine J Mcalhaney | Marriage & Family Therapist | 5025 Issaquah Pine Lake Rd Se, Issaquah, WA 98029-5291 | 2007-07-06 |
| 1831392208 | Waisan Wendy Lee | Marriage & Family Therapist | 1740 Nw Maple Street, Suite 210, Issaquah, WA 98027 | 2007-06-06 |
| Find all providers in ISSAQUAH | ||||
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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.