QUINCY T JEFFERSON (NPI# 1780155341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780155341 |
| Entity Type | Individual |
| Full Name | QUINCY T JEFFERSON |
| Credential | CDP |
| Practice Address |
10322 Ne 132nd Street Kirkland WA 98034-9803 |
| Mailing Address |
10322 Ne 132nd Street Kirkland WA 98034 |
| Practice Telephone | 4258233116 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP6051684 | WA | Behavioral Health & Social Service Providers |
| Street Address |
10322 NE 132ND STREET |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529809 | Walter James Jones | Counselor | 10322 Ne 132nd Street, Kirkland, WA 98034 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226498 | Rebecca Lynn Waterston | Counselor | 11417 124th Ave Ne Ste 202, Kirkland, WA 98033-4677 | 2019-10-14 |
| 1730650722 | David Allan Rudduck | Counselor | 6725 116th Ave Ne, Kirkland, WA 98033-8457 | 2018-12-17 |
| 1891266722 | Mary Kay Oshman | Counselor | 6725 116th Ave Ne Ste 110, Kirkland, WA 98033-8455 | 2018-12-17 |
| 1154661718 | Amy Arlene Arnold | Counselor | 10138 Ne 64th St Apt 36, Kirkland, WA 98033-6861 | 2013-02-19 |
| 1952646085 | Melanie Vallee | Counselor | 9757 Ne Juanita Dr Ste 132, Kirkland, WA 98034-8965 | 2012-11-29 |
| 1225173453 | Scott Jeffrey Alpert | Counselor | 11024 Ne 124th Ln, B301, Kirkland, WA 98034-9117 | 2007-02-21 |
| 1639641178 | April Lynn Sterling | Counselor | 10322 Ne 132nd St, Kirkland, WA 98034-2829 | 2018-12-21 |
| 1811468754 | Elissa Lierley | Counselor | 10322 Ne 132nd St, Kirkland, WA 98034-2829 | 2018-12-17 |
| 1184195026 | Katheryn Renay Larson | Counselor | 10322 Ne 132nd St, Kirkland, WA 98034-2829 | 2018-12-17 |
| 1427529809 | Walter James Jones | Counselor | 10322 Ne 132nd Street, Kirkland, WA 98034 | 2018-12-11 |
| Find all providers in KIRKLAND | ||||
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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.