JUSTIN WIMPRESS (NPI# 1780206409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206409 |
| Entity Type | Individual |
| Full Name | JUSTIN WIMPRESS |
| Practice Address |
1707 Cooks Hill Rd Centralia WA 98531-9071 |
| Mailing Address |
Po Box 1165 Castle Rock WA 98611-1165 |
| Practice Telephone | 3605238762 |
| Mailing Telephone | 5412729469 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1707 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792242 | Guito Wingfield | Internal Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-17 |
| 1598365868 | Chala Gray | Counselor | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-27 |
| 1376141374 | Karl Beall | Recreation Therapist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-12 |
| 1962664003 | L G Steck Memorial Clinic P S | Clinic/Center | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2008-06-30 |
| 1073609442 | Terry L Wilson | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531 | 2006-10-05 |
| 1841309465 | Christine G Pfeiffer | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-08-29 |
| 1306867700 | Wanda Jimenez | Family Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1447857172 | Aurora Cecelia Beck | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1447857180 | Kristina Chavez | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-10-06 |
| 1639789381 | Lindsay Baker | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-07 |
| 1184234064 | Brent Garrett Erwin | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-08-05 |
| 1245848589 | Falisha Irene Bazemore | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-07-22 |
| 1467075028 | Amy A Hollinger | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2020-05-18 |
| 1346861002 | Tamie L. Mccrandall | Peer Specialist | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-05-04 |
| 1407489305 | Chelsea Emmalee Morgan | Peer Specialist | 209 W Main St, Centralia, WA 98531-4245 | 2020-02-19 |
| 1912540840 | Marjie Paulline Hixson | Peer Specialist | 1641 Kresky Ave, Centralia, WA 98531-8912 | 2019-10-23 |
| 1184282691 | Alexa Leigh Warden | Peer Specialist | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | 2019-05-30 |
| Find all providers in CENTRALIA | ||||
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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.