NICKIE WOOD (NPI# 1821201534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821201534 |
| Entity Type | Individual |
| Full Name | NICKIE WOOD |
| Credential | MA, LMHC, LMFT |
| Practice Address |
220 S 3rd Pl Renton WA 98055-2405 |
| Practice Telephone | 4252280074 |
| Practice Fax Number | 4252262531 |
| Mailing Telephone | 4252280074 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00004818 | WA | Behavioral Health & Social Service Providers |
| Street Address |
220 S 3RD PL |
| City | RENTON |
| State | WA |
| Zip Code | 98055-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558467589 | Stephanie K Haroldsen | Social Worker | 220 S 3rd Pl, Renton, WA 98055-2405 | 2006-09-16 |
| 1184974362 | Lds Family Services | Community/Behavioral Health | 220 S 3rd Pl, Renton, WA 98057-2405 | 2012-09-14 |
| 1922388552 | Tina Ruth Lesh | Marriage & Family Therapist | 220 S 3rd Pl, Renton, WA 98057-2405 | 2011-08-26 |
| 1356577548 | Rustin Riley Gibbs | Marriage & Family Therapist | 220 S 3rd Pl, Renton, WA 98057-2405 | 2009-06-02 |
| 1366692667 | April M Titera | Marriage & Family Therapist | 220 S 3rd Pl, Renton, WA 98057-2405 | 2008-09-23 |
| 1497968465 | Kimberly Johnson | Counselor | 220 S 3rd Pl, Renton, WA 98055-2405 | 2007-05-07 |
| 1801018015 | Richard E Hartman | Counselor | 220 S 3rd Pl, Renton, WA 98055-2405 | 2007-05-03 |
| 1770701021 | Lucy Stevens | Counselor | 220 S 3rd Pl, Renton, WA 98055-2405 | 2007-04-23 |
| 1689791030 | Tawnia Barrow Singleton | Counselor | 220 S 3rd Pl, Renton, WA 98055-2405 | 2007-03-23 |
| 1639201072 | Peggy D Butler | Marriage & Family Therapist | 220 S 3rd Pl, Renton, WA 98055-2405 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706456 | Therapeuo LLC | Counselor | 16503 Se 171st Pl, Renton, WA 98058-9589 | 2020-09-28 |
| 1033730254 | Sandra Martinez | Counselor | 17728 134th Ln Se, Renton, WA 98058-6818 | 2020-04-28 |
| 1174159495 | Anna Higgins | Counselor | 1200 Grant Ave S Apt X201, Renton, WA 98055-3099 | 2020-03-18 |
| 1881233328 | Hannah Mae Bergeron | Counselor | 15617 Se 173rd St, Renton, WA 98058-9121 | 2020-01-01 |
| 1609426030 | Robert Arthur Martin Jr. | Counselor | 15 S Grady Way Ste 241, Renton, WA 98057-3209 | 2019-09-17 |
| 1417509068 | Jamila Bates | Counselor | 360 Taylor Ave Nw Apt 311, Renton, WA 98057-5148 | 2019-07-14 |
| 1982261400 | Makaela M Hayward | Counselor | 1025 S 3rd St Ste B, Renton, WA 98057-2765 | 2019-05-20 |
| 1447721089 | Alice Coleman | Counselor | 15 S Grady Way Ste 246, Renton, WA 98057-3209 | 2018-12-07 |
| 1033636147 | Masako Mcbride | Counselor | 1200 Sw 27th St # D1e01, Renton, WA 98057-2603 | 2017-08-29 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| Find all providers in RENTON | ||||
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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.