| Thriveworks Clinical - Washington, Pc | |
|
10303 Meridian Ave N Ste 200 Seattle WA 98133-9483 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Clinical - Washington, Pc |
|---|---|
| Speciality | Counselor |
| Location | 10303 Meridian Ave N Ste 200, Seattle, Washington |
| Authorized Official Name and Position | Nathan B Miller (OWNER) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Clinical - Washington, Pc Po Box 748465 Atlanta GA 30374-8465 Ph: (855) 284-7483 | Thriveworks Clinical - Washington, Pc 10303 Meridian Ave N Ste 200 Seattle WA 98133-9483 Ph: (855) 284-7483 |
| NPI Number | 1063087856 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 1052787488 |
|---|---|
| Medicare Enrollment ID | O20221026000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063087856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karen Wyome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811070840 PECOS PAC ID: 8820986615 Enrollment ID: I20040326001388 |
| Provider Name | Theresa Normoyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023359254 PECOS PAC ID: 4880978691 Enrollment ID: I20170222002407 |
| Provider Name | Tara Muriel Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851964993 PECOS PAC ID: 1355747429 Enrollment ID: I20210915001921 |
| Provider Name | Whitnee C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699149948 PECOS PAC ID: 2062714330 Enrollment ID: I20231027001746 |
| Provider Name | Heidi L Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104249994 PECOS PAC ID: 8729439252 Enrollment ID: I20240109004880 |
| Provider Name | Christina Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992083620 PECOS PAC ID: 7315399938 Enrollment ID: I20240119000937 |
| Provider Name | Alexander Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871985663 PECOS PAC ID: 7719339274 Enrollment ID: I20240119002524 |
| Provider Name | Mary Lou Macarius |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154530780 PECOS PAC ID: 5799137253 Enrollment ID: I20240119002609 |
| Provider Name | Cindy M Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487960704 PECOS PAC ID: 3779935234 Enrollment ID: I20240119002685 |
| Provider Name | Amber Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568829166 PECOS PAC ID: 4385096858 Enrollment ID: I20240119002861 |
| Provider Name | Jennifer Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164753752 PECOS PAC ID: 4587007554 Enrollment ID: I20240206004276 |
| Provider Name | Jamie Lynn Bagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700427663 PECOS PAC ID: 4688018336 Enrollment ID: I20240403003950 |
| Provider Name | Corazon Lafern Noyola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578007084 PECOS PAC ID: 5092157487 Enrollment ID: I20240530003736 |
| Provider Name | Brooke Ivler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720650369 PECOS PAC ID: 7113460130 Enrollment ID: I20240619000546 |
| Provider Name | Meredith Cone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205699824 PECOS PAC ID: 5597201731 Enrollment ID: I20240723004584 |
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