NICOLE DIBACCO (NPI# 1730507260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC 60369582 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BLUE SHIELD FEDERAL | R51033006 | 01 |
| Street Address |
600 1ST AVE SUITE 315 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2216 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| 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 |
| 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.