NYNA MARIE BABCOCK (NPI# 1760940621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760940621 |
| Entity Type | Individual |
| Full Name | NYNA MARIE BABCOCK |
| Practice Address |
224 E Wishkah St Aberdeen WA 98520-6513 |
| Practice Telephone | 3605329050 |
| Mailing Telephone | 3605329050 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
224 E WISHKAH ST |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124396932 | Catholic Community Services of Western Washington | Community/Behavioral Health | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2011-12-07 |
| 1285231886 | Bethany J Elbon | Counselor | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-10-06 |
| 1760097943 | Jamie L Broten | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-09-14 |
| 1871108043 | Jennifer Grimes | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-09-14 |
| 1760096093 | Ashley N Minyard | Counselor | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-09-03 |
| 1013529833 | Andrew Seth Moore | Case Manager/Care Coordinator | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-08-21 |
| 1437769684 | Eric Alan Shepard | Case Manager/Care Coordinator | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-08-03 |
| 1952942278 | Crystal Dawn Sanchez Richey | Counselor | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-10-08 |
| 1356982359 | Joseph Ryan Worthington | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-10-01 |
| 1164075594 | Shayna Nikol Steinhauer | Counselor | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1760097943 | Jamie L Broten | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-09-14 |
| 1871108043 | Jennifer Grimes | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2020-09-14 |
| 1609419894 | Jenni L Jones | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2019-10-21 |
| 1356982359 | Joseph Ryan Worthington | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-10-01 |
| 1548728678 | Mark Aaron Rosenblum | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-03-07 |
| 1760940910 | Chelsey Marie Reames | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-03-06 |
| 1003370883 | Stephen Paul Montoure | Peer Specialist | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2019-01-25 |
| 1760973846 | Robert Moyer | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-05-23 |
| 1922509900 | Cheryl Ann Boyer I | Peer Specialist | 403 W State St Ste 206, Aberdeen, WA 98520-6140 | 2018-02-23 |
| Find all providers in ABERDEEN | ||||
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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.