NICOLE ENSLOW


Address: 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760
Phone: 3608053122

NICOLE ENSLOW (NPI# 1962878587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962878587
Entity Type Individual
Full Name NICOLE ENSLOW
Credential HSP, SUDP
Practice Address 14090 Fryelands Blvd Se Ste 347
Monroe
WA 98272-2760
Mailing Address Po Box 34703
Seattle
WA 98124-1703
Practice Telephone 3608053122
Mailing Telephone 2067640502
Mailing Fax Number 2067640516
Enumeration Date 2015-08-18
Last Update Date 2019-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP61004872 WA Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
60553755 WA Behavioral Health & Social Service Providers
N 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 14090 FRYELANDS BLVD SE STE 347
City MONROE
State WA
Zip Code 98272-2760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881996551 Virgil Kim Counselor 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2010-12-01
1194368506 Stephanie Cooper Counselor 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2019-10-18
1316597735 Mariana Vergara-ochoa Case Manager/Care Coordinator 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2019-09-17
1942779731 Sea - Mar Community Health Center Clinic/Center 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2018-11-21
1972070712 Priscilla Trivisonno Case Manager/Care Coordinator 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2018-10-30
1235666348 Marykathleen Schurman Tihinen Counselor 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2017-05-19
1598128142 Sheryl L. Rekevics Social Worker 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2016-03-31
1831559350 Esther Lucianna Steen Counselor 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2016-02-25
1396113254 Liliana Cecilia Simmons Nurse Practitioner 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2015-09-09
1487070728 Milko Fernandez Counselor 14090 Fryelands Blvd Se Ste 347, Monroe, WA 98272-2760 2014-03-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710346135 Kiran Agarwal Internal Medicine 17707 W Main St Fl 1, Monroe, WA 98272 2016-02-12
1982073136 Rochelle Conway Toulouse Behavioral Analyst 642 North Street, Monroe, WA 98272 2015-09-17
1740658467 Casey Jane Bahr Social Worker Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 2015-09-11
1811395049 Gianna M Rosewood Massage Therapist 101 East Main Street Set 201, Monroe, WA 98272 2014-12-22
1528478609 Puget Sound Kidney Centers Clinic/Center 18121 149th Street Se, Monroe, WA 98272 2014-04-29
1215356878 Sabiha K Barot Emergency Medicine Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 2014-04-10
1346677986 Irina Emily Goldstein Pharmacist 179th Ave Se, Monroe, WA 98272 2013-09-27
1740612449 Erik Michael Erxleben Massage Therapist 211 West Hill St., Monroe, WA 98272 2013-08-05
1780023796 Jamie Marlo Selbe Counselor 16560 167th St Se, Monroe, WA 98272 2013-06-24
1942644620 Robin Fenn Counselor 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 2013-04-24
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558842583 Breathe Resources Counselor 921 Skywatch Ln, Monroe, NC 28112-7729 2018-08-28
1912426057 Gregory Greer Counselor 208 Cole Ave Ste 6, Monroe, LA 71203-3814 2017-09-10
1851830202 Jessica Partridge Counselor 3010 Amber Ct, Monroe, GA 30655-5870 2017-02-17
1053859587 Christina Vitela Duarte Counselor 14090 Fryelands Blvd Se Ste 327, Monroe, WA 98272-2693 2017-02-03
1316484868 Aimwell Center LLC Counselor 1106 Stubbs Avenue, Suite B, Monroe, LA 71201 2017-01-23
1477901031 Shecorbia Turner Counselor 1401 Hudson Ln Ste 202, Monroe, LA 71201-6032 2016-05-24
1316304041 Marcelette Joyner Counselor 109 N Hayne St, Monroe, NC 28112-4883 2016-01-26
1104282169 Joshua Johnson Counselor 2321 Highway 80 E, Monroe, LA 71203-9366 2016-01-06
1366807125 Luan Valz Counselor 38 Round Lake Ave, Monroe, NY 10950-1416 2015-12-22
1346610334 Cathy Willis Counselor 186 Country Club Blvd, Monroe, LA 71202-7315 2015-10-02
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Competitor

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City MONROE
Zip Code 98272

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Dataset Information

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.

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