IMPACT COMPASSION CENTER (NPI# 1003370438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003370438 |
| Entity Type | Organization |
| Organization Name | IMPACT COMPASSION CENTER |
| Practice Address |
9 S Dayton St Kennewick WA 99336-3843 |
| Practice Telephone | 5098511720 |
| Mailing Telephone | 5098511720 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | JENNIFER FELICITAS (EXECUTIVE DIRECTOR, FOUNDER) |
| Authorized Official Telephone | 5092054962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 W Kennewick Ave, Kennewick, WA 993363828 | 5098511720 |
| Street Address |
9 S DAYTON ST |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634245 | Kimberly Wright-whittam | Social Worker | 9 S Dayton St, Kennewick, WA 99336-3843 | 2020-03-18 |
| 1952942831 | Millie Baldwin | Counselor | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-10-02 |
| 1215585542 | Timothy W Sullivan | Case Manager/Care Coordinator | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-08-29 |
| 1780239012 | Shasta C Meyers | Community Health Worker | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336657089 | Withinsight Mind & Body, LLC | Community/Behavioral Health | 3902 W Clearwater Ave Ste 106, Kennewick, WA 99336-2676 | 2018-01-16 |
| 1861871931 | Valdez and Associates, LLC | Community/Behavioral Health | 100 N. Morain Street, Suite 201, Kennewick, WA 99336 | 2015-05-22 |
| 1801295126 | Tri Cities Residential Servies | Community/Behavioral Health | 741 S Dayton St, Suite A, Kennewick, WA 99336-5620 | 2014-08-22 |
| 1841602935 | Family Connections of Tri Cities | Community/Behavioral Health | 117 N Garfield St, Kennewick, WA 99336-3560 | 2014-05-23 |
| 1487079281 | Elizabeth Scott | Community/Behavioral Health | 40021 S Finley Rd, Kennewick, WA 99337-7575 | 2014-03-03 |
| 1114476496 | Our Lady of Lourdes Hosptial At Pasco | Community/Behavioral Health | 500 N Morain St, Suite 1250, Kennewick, WA 99336-2950 | 2016-09-27 |
| 1841608692 | Cochran Counseling Services LLC | Community/Behavioral Health | 6917 W Grandridge Blvd Ste D, Kennewick, WA 99336-7737 | 2014-07-24 |
| 1205241106 | Action Counseling | Community/Behavioral Health | 4911 W Canal Dr, Kennewick, WA 99336-7755 | 2014-06-30 |
| 1184917916 | Child Enrichment Center LLC | Community/Behavioral Health | 552 N Colorado St, Ste 210, Kennewick, WA 99336-7779 | 2011-05-26 |
| 1255568911 | Benton Franklin County Crisis Response Unit | Community/Behavioral Health | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-19 |
| Find all providers in KENNEWICK | ||||
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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.