MS. REBECCA LYNN WATERSTON (NPI# 1780226498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780226498 |
| Entity Type | Individual |
| Full Name | MS. REBECCA LYNN WATERSTON |
| Credential | MA, LMHCA, CDPT |
| Practice Address |
11417 124th Ave Ne Ste 202 Kirkland WA 98033-4677 |
| Mailing Address |
9920 Main St Apt 619 Bothell WA 98011-3564 |
| Practice Telephone | 4255319648 |
| Mailing Telephone | 4255319648 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60923325 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MA60498912 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPT OF HEALTH | MC60498912 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Westlake Ave N Ste 105, Seattle, WA 981092782 | 4256521690 |
| Street Address |
11417 124TH AVE NE STE 202 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-4677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940563 | Caewyn Barnett | Counselor | 312 11th Ave W Ste 201, Kirkland, WA 98033-5326 | 2020-10-19 |
| 1306465828 | Yvette Stone | Counselor | 11416 Slater Ave Ne Ste 203, Kirkland, WA 98033-8827 | 2020-04-14 |
| 1003370552 | Angela Rae Schellenberg | Counselor | 9757 Ne Juanita Dr Ste 206a, Kirkland, WA 98034-4291 | 2019-01-29 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1295245033 | Melissa Monahan | Counselor | 11416 Slater Ave Ne Ste 203a, Kirkland, WA 98033-4600 | 2017-10-06 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1427589969 | Margarita Lalayan | Counselor | 7316 Ne 142nd Pl, Unit A, Kirkland, WA 98034-4957 | 2017-03-26 |
| 1952843542 | Vea Counseling Services | Counselor | 14112 82nd Pl Ne, Kirkland, WA 98034-5063 | 2016-11-14 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| 1033564570 | John F Koch | Counselor | 13642 103rd Ave Ne, Kirkland, WA 98034-2045 | 2016-05-03 |
| 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.