GWYNETH LEEANNE SOBOLEFF (NPI# 1972021384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972021384 |
| Entity Type | Individual |
| Full Name | GWYNETH LEEANNE SOBOLEFF |
| Practice Address |
110 W K St Shelton WA 98584-2944 |
| Mailing Address |
3857 Martin Way E Olympia WA 98506-5268 |
| Practice Telephone | 3607047170 |
| Mailing Telephone | 3607047170 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 100567 | 05 |
| Street Address |
110 W K ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194896654 | Behavioral Health Resources | Community/Behavioral Health | 110 W K St, Shelton, WA 98584-2939 | 2006-11-13 |
| 1124638895 | Casey M. Carter | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2020-08-06 |
| 1629694690 | Britne Lynn Wakem | Pharmacist | 110 W K St, Shelton, WA 98584-2944 | 2020-06-24 |
| 1730672791 | Janessa Core | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2018-06-13 |
| 1477044535 | Katlyn Shiree Strom | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2018-05-24 |
| 1811484611 | Dacia Aloha Dunbar | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2018-04-17 |
| 1861905119 | Jennifer Keyzers | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2017-11-08 |
| 1730692229 | Jessica Comstock | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2017-11-07 |
| 1821501313 | Brittney Anne Nelson | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2017-11-07 |
| 1033638382 | Dylan Glebe | Counselor | 110 W K St, Shelton, WA 98584-2944 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1619594330 | Brenna Woslum | Counselor | 1433 Mason St, Shelton, WA 98584-1167 | 2020-06-29 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1437686458 | Michael Brooks | Counselor | 601 W Franklin St Ste A, Shelton, WA 98584-3518 | 2017-05-22 |
| 1053701854 | Rites of Passage Nw LLC | Counselor | 142 E Strong Rd, Shelton, WA 98584-8861 | 2015-01-31 |
| 1740606334 | Patricia Helm | Counselor | 574 E Pointes Dr W, Shelton, WA 98584-9419 | 2014-03-07 |
| 1578851911 | Kelly Gale Kimbel | Counselor | 428 W Birch St Ste 11, Shelton, WA 98584-1700 | 2011-07-19 |
| 1073821575 | Randall Fred Beaver | Counselor | 235 S 3rd St, Shelton, WA 98584-2255 | 2010-09-17 |
| 1770810236 | Nancy C. Nolda | Counselor | 730 E Burgundy Rd, Shelton, WA 98584-9430 | 2009-11-04 |
| 1366679672 | Rachel Lynn Johnson | Counselor | 117 N 8th St Ste 100, Shelton, WA 98584 | 2009-06-12 |
| Find all providers in SHELTON | ||||
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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.