NICOLE DIBACCO


Address: 600 1st Ave, Suite 315, Seattle, WA 98104-2216
Phone: 2064062115

NICOLE DIBACCO (NPI# 1730507260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730507260
Entity Type Individual
Full Name NICOLE DIBACCO
Credential MA, LMHCA
Practice Address 600 1st Ave
Suite 315
Seattle
WA 98104-2216
Practice Telephone 2064062115
Enumeration Date 2014-04-02
Last Update Date 2014-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MC 60369582 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA BLUE SHIELD FEDERAL R51033006 01

Office Location

Street Address 600 1ST AVE
SUITE 315
City SEATTLE
State WA
Zip Code 98104-2216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013906502 Sharon Ann Baker Psychologist 600 1st Ave, #436, Seattle, WA 98104-2216 2005-10-17
1508304536 Lorena Wasson Massage Therapist 600 1st Ave, Seattle, WA 98104-2216 2017-02-09
1619335635 M Elizabeth Romano Counselor 600 1st Ave, Suite 205a, Seattle, WA 98104-2216 2016-02-04
1881081164 Sarah Anderson Physical Therapist 600 1st Ave, Suite 536, Seattle, WA 98104-2216 2015-04-24
1942540521 Andrew West Counselor 600 1st Ave, Suite 427b, Seattle, WA 98104-2216 2013-02-19
1164773214 Emily Rebecca Preston Counselor 600 1st Ave, Suite 239, Seattle, WA 98104-2216 2012-09-28
1982969671 Nan Joy Counselor 600 1st Ave, Suite 322, Seattle, WA 98104-2216 2012-07-09
1548546708 Jay Stringer Counselor 600 1st Ave, Suite 231, Seattle, WA 98104-2216 2011-11-01
1700169489 David Peacey Massage Therapist 600 1st Ave, Suite #538, Seattle, WA 98104-2216 2011-09-20
1225316144 Melanie Kim Farmer Massage Therapist 600 1st Ave, Seattle, WA 98104-2216 2011-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407745 Julie Mcgowan Counselor 9222 12th Ave Sw, Seattle, WA 98106-2908 2020-11-06
1043811292 Satya Wellness Collective, LLC Counselor 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 2020-11-04
1366043960 Nidhi Amy Rastogi Counselor 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 2020-11-02
1124628797 Krista P Marceron Counselor 1421 34th Ave Ste 207, Seattle, WA 98122-3634 2020-10-31
1326648064 Taylor Ferry Counselor 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 2020-10-30
1710587969 Brenton Brooks Page Jr. Counselor 819 N 49th St Ste 303, Seattle, WA 98103-6577 2020-10-27
1215536719 Jessica Aarsvold Counselor 1 Ward St Unit 5, Seattle, WA 98109-3627 2020-10-26
1972102911 Philip H Benjamin Counselor Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 2020-10-21
1588263834 Laura Gardener Counselor 216 25th Ave, Seattle, WA 98122-6104 2020-10-19
1265031512 Mykel Ziolo Counselor 11700 Evanston Ave N, Seattle, WA 98133-8225 2020-10-19
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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