JAVIER EDUARDO FREGOSO (NPI# 1811492150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811492150 |
| Entity Type | Individual |
| Full Name | JAVIER EDUARDO FREGOSO |
| Credential | MA |
| Practice Address |
1148 Broadway Ste 100 Tacoma WA 98402-3518 |
| Practice Telephone | 2535974550 |
| Mailing Telephone | 2535974550 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60985182 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1148 BROADWAY STE 100 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762755 | Community Health Care | Clinic/Center | 1148 Broadway Ste 100, Tacoma, WA 98402 | 2005-12-29 |
| 1710529987 | Rebecca Dawn Long | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2019-10-09 |
| 1386290583 | Myung Jin Maria Cho | Dentist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2019-08-13 |
| 1952879413 | Martha Moreno | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-11-02 |
| 1851866602 | Samalie Sseba | Nurse Practitioner | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-08 |
| 1972088359 | Tiffaney White | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-10-01 |
| 1760964316 | Kelsey Wardlow | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-08-30 |
| 1518445758 | Ashley Rivero | Dental Hygienist | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-31 |
| 1275010480 | Rosemary Grace Cooper | Social Worker | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2018-07-20 |
| 1922529403 | Yareli Aguirre | Physician Assistant | 1148 Broadway Ste 100, Tacoma, WA 98402-3518 | 2017-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382331 | Sabrie Lynn Tramble | Counselor | 4036 S Lawrence St # A, Tacoma, WA 98409-5627 | 2020-10-06 |
| 1548870488 | Sorya Pao | Counselor | 7028 S Park Ave, Tacoma, WA 98408-5511 | 2020-08-05 |
| 1225651730 | Lisa Michele Johnson | Counselor | 2615 S 14th St, Tacoma, WA 98405-2627 | 2020-05-19 |
| 1982223046 | Celisha Joy Kuhlmann | Counselor | 6409 Tacoma Ave S, Tacoma, WA 98408-6230 | 2020-04-09 |
| 1811522394 | Bailey and Bailey Counseling and Consultation | Counselor | 2136 Martin Luther King Jr Way Ste 200, Tacoma, WA 98405-3838 | 2020-03-05 |
| 1992338214 | Kathleen Konzelman | Counselor | 1102 A St Ste 317, Tacoma, WA 98402-5001 | 2020-02-14 |
| 1780226803 | Dawn Lindsay | Counselor | 2602 N Huson St, Tacoma, WA 98407-3936 | 2019-10-09 |
| 1043851538 | Lashunda Pitts | Counselor | 2040 E Gregory St Unit B, Tacoma, WA 98404-4723 | 2019-10-05 |
| 1316596893 | Katherine A Mccaffree | Counselor | 1415 E 72nd St Ste B, Tacoma, WA 98404-5905 | 2019-09-08 |
| 1659933760 | West Coast Counseling, Pllc | Counselor | 2702 N Proctor St Ste D, Tacoma, WA 98407-5228 | 2019-06-28 |
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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.