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DESTINY BACON
NPI 1194315382
Counselor - Mental Health in Olympia, WA

Active since January 21, 2021
402 YAUGER WAY SW, OLYMPIA, WA 98502(360) 878-8248 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Destiny Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY BACON (NPI 1194315382) is an individual mental health provider in Olympia, Washington and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1194315382
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESTINY BACON
Location Address402 YAUGER WAY SWOlympia, WA 98502-8660
Mailing Address1294 Ebbets Dr SwTumwater, WA 98512-4606 · (564) 464-9509
Phone(360) 878-8248
Sole ProprietorNo
Enumeration DateJanuary 21, 2021
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1194315382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
402 YAUGER WAY SW, Olympia, WA 98502
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA FELICIANO
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MS. KELLY LYNN COMEAU
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
LATIKA CHANDLER
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
ANTONIO DEMOND ROWE II
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
JENNIFER MAE FREDERICK
Counselor
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 515-8012
NANA ANITA SIYUFY
Peer Specialist
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
RAVEN VROLYK
Social Worker
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MARY L ARIAS
Peer Specialist
402 YAUGER WAY SW
OLYMPIA, WA 98502
Thurston County (360) 968-3182

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Bacon's NPI number?

The NPI number for Destiny Bacon is 1194315382. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Destiny Bacon located?

Destiny Bacon practices at 402 Yauger Way SW, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Destiny Bacon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Destiny Bacon was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.