JESSYCA VENCILL-OPP (NPI# 1902272990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902272990 |
| Entity Type | Individual |
| Full Name | JESSYCA VENCILL-OPP |
| Other Name | JESSYCA NECHELLE SOBANIA-OPP |
| Credential | MA, MHP, CDPT, LMHCA |
| Practice Address |
2708 Westmoor Ct Sw Olympia WA 98502-5754 |
| Practice Telephone | 3609438810 |
| Practice Fax Number | 3609430931 |
| Mailing Telephone | 3609438810 |
| Mailing Fax Number | 3609430931 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MC6081310 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9330 59th Ave Sw, Lakewood, WA 984992858 | 2536205015 |
| Street Address |
2708 WESTMOOR CT SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-5754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457410391 | Duane Thomas Price | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2006-12-06 |
| 1306471040 | Gabriela Santiago | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2020-03-03 |
| 1285119164 | Jackie A Lopez | Marriage & Family Therapist | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-09-26 |
| 1578042651 | Jaime Sparks | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-08-09 |
| 1790277242 | Jessica Anne Donyes | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-05-31 |
| 1770084832 | Mark Anthony Goebel | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2018-02-23 |
| 1962934125 | Joshua Alan Black | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2017-03-28 |
| 1689110678 | Jenna Lynn Cook | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2017-01-13 |
| 1851847206 | Sandra Kozlowski | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2016-08-26 |
| 1992166482 | Nicole Elya Vela | Counselor | 2708 Westmoor Ct Sw, Olympia, WA 98502-5754 | 2016-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1669092151 | Emily Stephens | Counselor | 415 38th Ave Ne, Olympia, WA 98506-2417 | 2020-04-24 |
| 1003440405 | Mary Achol Bol | Counselor | 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506-5050 | 2020-02-25 |
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1962047266 | Jeffrey Owen Nogler | Counselor | 1975 Olympia Ave Ne, Olympia, WA 98506-4643 | 2019-11-10 |
| 1720620636 | Heckler Integrative Psychiatric Care | Counselor | 2727 Westmoor Ct Sw Ste 100, Olympia, WA 98502-5754 | 2019-10-11 |
| 1073154936 | Michelle Rubbert | Counselor | 7722 Greenridge Loop Sw, Olympia, WA 98512-2347 | 2019-10-02 |
| 1295295749 | David Gervais | Counselor | 108 State Ave Nw Ste 25, Olympia, WA 98501-8249 | 2019-03-21 |
| 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.