JENNIFER E GOLIK (NPI# 1851540082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851540082 |
| Entity Type | Individual |
| Full Name | JENNIFER E GOLIK |
| Practice Address |
309 W 12th St Vancouver WA 98660-2903 |
| Mailing Address |
Po Box 605 Vancouver WA 98666-0605 |
| Practice Telephone | 3606951325 |
| Mailing Telephone | 3606951325 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
309 W 12TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882200 | Mindy Diane Davis | Social Worker | 309 W 12th St, Vancouver, WA 98660-2903 | 2006-07-14 |
| 1538774047 | Ashley Gliddon | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-09-11 |
| 1710502356 | Jasmine Hankerson | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-06-09 |
| 1306473327 | Hannah G Martin | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-03-27 |
| 1245879626 | Richard Weinstein | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2020-01-02 |
| 1124685334 | Renee Fitzpatrick | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-05-22 |
| 1003473216 | Catie Hardman | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-05-22 |
| 1063975811 | Talia Brumfield | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-04-09 |
| 1912460098 | Cole Jeffrey Evers | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-04-07 |
| 1184198962 | Renee Sisson | Counselor | 309 W 12th St, Vancouver, WA 98660-2903 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720554256 | Kay Marie Roberson | Peer Specialist | 1601 E Fourth Plain Blvd Ste A-152, Vancouver, WA 98661-3713 | 2018-10-23 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1043713449 | Claudia Gutierrez | Peer Specialist | 4601 E 18th St, Vancouver, WA 98661-6270 | 2018-03-12 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1225547151 | Dionne Marie Clark | Peer Specialist | 9105 Ne Highway 99 Ste 201a, Vancouver, WA 98665-8974 | 2017-09-22 |
| 1265974620 | Amanda Ewing | Peer Specialist | 16417 Ne 73rd St, Vancouver, WA 98682-1918 | 2016-11-15 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1548887870 | Oscar Daniel Beltran Leyva | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-07-02 |
| 1336760917 | Lindsey Sinks | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-05-05 |
| 1295356236 | Susan Mordick | Peer Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-04-30 |
| Find all providers in VANCOUVER | ||||
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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.