NICK BACOLOD (NPI# 1831612688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831612688 |
| Entity Type | Individual |
| Full Name | NICK BACOLOD |
| Practice Address |
5929 Westgate Blvd Ste A Tacoma WA 98406-2567 |
| Practice Telephone | 2535030226 |
| Mailing Telephone | 2535030226 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9210 78th St Sw, Lakewood, WA 984983906 | 2533048008 |
| Street Address |
5929 WESTGATE BLVD STE A |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568868198 | Eugena Fisher | Counselor | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2014-11-10 |
| 1285248674 | Jessica Pendergast | Counselor | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2020-09-02 |
| 1992315519 | Christine Borland | Psychologist | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2020-08-07 |
| 1134698921 | Reginald Karl Blackman | Peer Specialist | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2018-11-21 |
| 1346720729 | Corey Arthur Beeson | Counselor | 5929 Westgate Blvd Ste A, Tacoma, WA 98406-2567 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
| Find all providers in zip 98406 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445614 | Danica Thomas | Counselor | 415 S 13th St, Tacoma, WA 98402-3415 | 2020-10-19 |
| 1720696172 | Evander Suju | Counselor | 4910 N Bristol St, Tacoma, WA 98407-2124 | 2020-07-21 |
| 1033732615 | Mary Amanda Graham | Counselor | 510 S 35th St, Tacoma, WA 98418-6824 | 2020-05-18 |
| 1043831258 | Christine Marie Petersen | Counselor | 601 136th St E, Tacoma, WA 98445-1563 | 2020-04-28 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1568016731 | Gabriella Salas-trujillo | Counselor | 3109 N 7th St, Tacoma, WA 98406-6218 | 2019-07-26 |
| 1124686290 | Emmanuel Villarivera | Counselor | 612 113th St S, Tacoma, WA 98444-4902 | 2019-06-03 |
| 1588227094 | Aimee Lauren Peyton-greene | Counselor | 6621 S Wapato St, Tacoma, WA 98409-9082 | 2019-04-19 |
| 1679037535 | Sapati Siose | Counselor | 4021 S Bell St, Tacoma, WA 98418-7820 | 2019-01-24 |
| 1255849980 | Rodney D Terry | Counselor | 4509 S Union Ave Apt 3, Tacoma, WA 98409-4508 | 2018-01-16 |
| Find all providers in TACOMA | ||||
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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.