KEVIN MERCER (NPI# 1891221131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891221131 |
| Entity Type | Individual |
| Full Name | KEVIN MERCER |
| Credential | CDP |
| Practice Address |
200 Lilly Rd Ne Ste C Olympia WA 98506-5080 |
| Mailing Address |
5751 39th Ave Se Olympia WA 98503-7131 |
| Practice Telephone | 3609188336 |
| Practice Fax Number | 3609722152 |
| Mailing Telephone | 3609188336 |
| Mailing Fax Number | 3609722152 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00004289 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1457877243 | Kevin Joseph Mercer | Pharmacist | 449 W 23rd St, Panama City, FL 32405-4507 | 2017-08-14 |
| Street Address |
200 LILLY RD NE STE C |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992886956 | Jennifer Ann Clingenpeel | Nurse Practitioner | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2006-10-18 |
| 1073173969 | Samantha Marie Gilbertson | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2019-06-13 |
| 1073085106 | Brandon Mathews | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2018-12-31 |
| 1124597695 | Amanda Chick | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2018-11-14 |
| 1588184311 | Kristin Nicole White | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2017-06-22 |
| 1821524422 | Northwest Resources II | Counselor | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2017-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291163 | Rachel E Freer | Counselor | 3222 Friendly Grove Rd Ne, Olympia, WA 98506-2940 | 2020-06-30 |
| 1144854332 | Lisa Lorraine Gaul | Counselor | 1905 4th Ave E Ste B, Olympia, WA 98506-4631 | 2020-02-26 |
| 1083244644 | Audrey Jane Bengtson | Counselor | 3773 Martin Way E Ste 107, Olympia, WA 98506-4400 | 2020-01-23 |
| 1396385357 | Cecilia Chavez | Counselor | 1820 Ashwood Downs Ln Se Apt 315, Olympia, WA 98501-7664 | 2020-01-08 |
| 1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1609301381 | Petya Pacheva | Counselor | 2401 Bristol Ct Sw Ste D101, Olympia, WA 98502-6037 | 2017-05-01 |
| 1215380787 | Alicia Rose | Counselor | 3773 Martin Way E Ste 105a, Olympia, WA 98506-5048 | 2016-07-19 |
| 1154770188 | Amelia Sohler | Counselor | 5326 80th Ave Sw, Olympia, WA 98512-2358 | 2016-06-09 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| Find all providers in OLYMPIA | ||||
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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.