MR. BRENDON LEE MENDOZA (NPI# 1871936138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871936138 |
| Entity Type | Individual |
| Full Name | MR. BRENDON LEE MENDOZA |
| Credential | MA, LMHCA, SUDP |
| Practice Address |
2200 6th Ave Ste 604 Seattle WA 98121-1849 |
| Practice Telephone | 2069292500 |
| Mailing Telephone | 2069292500 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60327789 | WA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60318363 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC61006632 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CG60327789 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14216 Ne 21st St, North Creek, Bellevue, WA 980073720 | 4256534900 | 4256534910 |
| Street Address |
2200 6TH AVE STE 604 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98121-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963233 | Mehrangiz Peimai | Interpreter | 2020 Terry Ave #203, Seattle, WA 98121 | 2020-08-21 |
| 1649839614 | Lisa Williams | Counselor | El Ray, 2119 2nd Ave, Seattle, WA 98121 | 2019-06-12 |
| 1629634332 | Emmanuel K Acheampong Jr. | Physical Therapist | 2720 4th Ave Apt 115, Seattle, WA 98121 | 2019-05-17 |
| 1538650049 | Laura Rochelle Sauvage | Dentist | 2045 Westlake Ave, Seattle, WA 98121 | 2018-05-21 |
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1881114601 | Brandon Tyler Thompson | Counselor | 2119 2nd Ave., Seattle, WA 98121 | 2017-06-22 |
| 1255886677 | Nkiruka Aderogba | Nurse Practitioner | 300 Lenora Street, Seattle, WA 98121 | 2016-08-16 |
| 1770924227 | Virginia J. Washburn | Marriage & Family Therapist | 2021 - 1st Ave., #g2, Seattle, WA 98121 | 2013-07-12 |
| 1700139706 | Maxine K Anderson | Psychoanalyst | 2100 Western Ave, #69, Seattle, WA 98121 | 2012-10-16 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| Find all providers in zip 98121 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407745 | Julie Mcgowan | Counselor | 9222 12th Ave Sw, Seattle, WA 98106-2908 | 2020-11-06 |
| 1043811292 | Satya Wellness Collective, LLC | Counselor | 5608 17th Ave Nw # 1063, Seattle, WA 98107-5232 | 2020-11-04 |
| 1366043960 | Nidhi Amy Rastogi | Counselor | 7004 Murray Ave Sw Apt 103, Seattle, WA 98136-1763 | 2020-11-02 |
| 1124628797 | Krista P Marceron | Counselor | 1421 34th Ave Ste 207, Seattle, WA 98122-3634 | 2020-10-31 |
| 1326648064 | Taylor Ferry | Counselor | 3954 1st Ave Ne Apt 3, Seattle, WA 98105-6863 | 2020-10-30 |
| 1710587969 | Brenton Brooks Page Jr. | Counselor | 819 N 49th St Ste 303, Seattle, WA 98103-6577 | 2020-10-27 |
| 1215536719 | Jessica Aarsvold | Counselor | 1 Ward St Unit 5, Seattle, WA 98109-3627 | 2020-10-26 |
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1588263834 | Laura Gardener | Counselor | 216 25th Ave, Seattle, WA 98122-6104 | 2020-10-19 |
| 1265031512 | Mykel Ziolo | Counselor | 11700 Evanston Ave N, Seattle, WA 98133-8225 | 2020-10-19 |
| Find all providers in SEATTLE | ||||
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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.