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AUTUMN MICHIEL FIVEASH
NPI 1982364493
Peer Specialist in Olympia, WA

Active since December 23, 2021
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502(360) 878-8248(360) 489-0402 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autumn Michiel Fiveash NPPES

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

AUTUMN MICHIEL FIVEASH (NPI 1982364493) is an individual peer specialist in Olympia, Washington and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1982364493
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAUTUMN MICHIEL FIVEASH
Location Address1202 BLACK LAKE BLVD SW STE BOlympia, WA 98502-7208
Mailing Address1202 Black Lake Blvd Sw Ste BOlympia, WA 98502-7208 · (360) 878-8248 · Fax (360) 489-0402
Phone(360) 878-8248
Fax(360) 489-0402
Sole ProprietorNo
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 23, 2021
✔ NPI 1982364493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1202 BLACK LAKE BLVD SW STE B, 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.

CINDI HAMMOND
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
SHERYL STONE-CARLE
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
TOM EDWIN CROWELL SOCIAL WORKER
Social Worker
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
AMOS EDWARD SMITH D.MIN.
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
ANN KRISTIN SKAAR
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 440-7983
TRACY OSLAKOVIC
Case Manager/Care Coordinator
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
CRYSTAL SHANELL MCDANELD
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MRS. JAMIE DAWNELL ESPINOZA
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248

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 Autumn Fiveash's NPI number?

The NPI number for Autumn Fiveash is 1982364493. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Autumn Fiveash located?

Autumn Fiveash practices at 1202 Black Lake Blvd SW Ste B, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Autumn Fiveash's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Autumn Fiveash was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.