MRS. JEANNETTE WYATT MULVIHILL (NPI# 1720555840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720555840 |
| Entity Type | Individual |
| Full Name | MRS. JEANNETTE WYATT MULVIHILL |
| Other Name | MRS. JEANNETTE WYATT |
| Credential | MSW, LICSW, SUDP |
| Practice Address |
15601 93rd Ct Ne Bothell WA 98011-6810 |
| Mailing Address |
Po Box 1895 Everett WA 98206-1895 |
| Practice Telephone | 2068419864 |
| Mailing Telephone | 2068419864 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60901239 | WA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60499386 | WA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SC61083710 | WA | Behavioral Health & Social Service Providers |
| Street Address |
15601 93RD CT NE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912488594 | Millicent Jane Frehner | Counselor | 204 215th St Se, Bothell, WA 98021-7546 | 2018-08-22 |
| 1992294649 | Jeffrey Philip Stevens | Counselor | 3615 182nd St Se, Bothell, WA 98012-6775 | 2018-05-08 |
| 1841719879 | John Case | Counselor | 17714 4th Pl W, Bothell, WA 98012-9139 | 2017-09-11 |
| 1982137238 | Joan Margaret Norton | Counselor | 22026 20th Ave Se, 101, Bothell, WA 98021-4449 | 2017-04-04 |
| 1598155715 | Margaret Milligan | Counselor | 2403 166th Pl Se, Bothell, WA 98012-6097 | 2015-01-26 |
| 1427336718 | Carolyne Pietz | Counselor | 10619 Beardslee Blvd Ste D, Bothell, WA 98011-3249 | 2011-08-03 |
| 1093922502 | Don J. Klompeen | Counselor | 21502 2nd Dr Se, Bothell, WA 98021-7554 | 2007-05-16 |
| 1730266917 | Center for Human Services | Counselor | 22105 23rd Dr Se, Bothell, WA 98021-4409 | 2006-11-01 |
| 1598385007 | Noemi Stephanie Ocampo | Counselor | 22026 20th Ave Se Ste 101, Bothell, WA 98021-4449 | 2020-04-24 |
| 1700418282 | Christine L Sundholm | Counselor | 22026 20th Ave Se Ste 101, Bothell, WA 98021-4449 | 2020-02-12 |
| Find all providers in BOTHELL | ||||
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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.