SYDNEY JURICH (NPI# 1801493200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801493200 |
| Entity Type | Individual |
| Full Name | SYDNEY JURICH |
| Practice Address |
3285 Ferguson Street Sw Tumwater WA 98512 |
| Mailing Address |
2323 9th Ave Sw Apt 10-201 Olympia WA 98502-5183 |
| Practice Telephone | 3609431907 |
| Mailing Telephone | 9253536422 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3285 FERGUSON STREET SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| 1639722366 | Jennifer Rose Ivey | Peer Specialist | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-22 |
| 1376195073 | Anthony O'leary | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-12 |
| 1447802244 | Samantha Rodriguez | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98503 | 2019-07-11 |
| 1164074993 | Jennifer Lynne Thomas | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-11 |
| 1689226482 | Sheila Kay Mccann | Counselor | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1932625712 | Karen Lynne Hamilton | Case Management | 1275 Second Avenue South, Tumwater, WA 98512 | 2017-08-14 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605967 | Beth Samantha Schuurmans | Counselor | 616 North St Se, Tumwater, WA 98501-3439 | 2020-07-04 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1467946889 | Tracey Dorsey | Counselor | 115 X St Sw, Tumwater, WA 98501-4576 | 2018-06-19 |
| 1114447885 | Sandra Ann Ckodre | Counselor | 1275 2nd Ave Sw, Tumwater, WA 98512-6976 | 2017-06-23 |
| 1831619824 | Greg M Zikas | Counselor | 6128 Capital Blvd, Tumwater, WA 98512 | 2017-06-21 |
| 1902263056 | Elora Binnie | Counselor | 6334 Littlerock Rd. Sw Bdg 6, Tumwater, WA 98512 | 2016-01-20 |
| 1548626195 | Lauren Katerine Drake | Counselor | 530 Ensley Ln Se, Tumwater, WA 98501-4030 | 2016-01-12 |
| 1871960419 | David Lester Rodriguez II | Counselor | 5902 Elm St Se, Tumwater, WA 98501 | 2015-08-31 |
| 1356751382 | Anthony Scott Robbins | Counselor | 7223 Bronington Dr Sw, Tumwater, WA 98512-7393 | 2014-04-29 |
| 1336587880 | Shauna M Ericson | Counselor | 6004 Capitol Blvd Se, Tumwater, WA 98501-8520 | 2013-06-06 |
| Find all providers in TUMWATER | ||||
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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.