CENTER FOR HUMAN SERVICES (NPI# 1023197795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023197795 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HUMAN SERVICES |
| Other Organization Name | CHS SCRIBER |
| Practice Address |
23200 100th Ave W Edmonds WA 98020-5020 |
| Mailing Address |
17018 15th Ave Ne Shoreline WA 98155-5126 |
| Practice Telephone | 4254315825 |
| Mailing Telephone | 2063627282 |
| Mailing Fax Number | 2063627152 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | BERATTA GOMILLION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063627282 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1994029 | 05 |
| Other Name | Type Code |
|---|---|
| CHS Scriber | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598103624 | Center for Human Services | Case Management | 18414 103rd Ave Ne, Bothell, WA 98011-3410 | 2013-06-11 |
| 1306121074 | Center for Human Services | Community/Behavioral Health | 1300 Patchett Dr, Newman, CA 95360-1434 | 2011-10-13 |
| 1336442722 | Center for Human Services | Community/Behavioral Health | 631 W F St, Oakdale, CA 95361-3734 | 2010-12-07 |
| 1104079300 | Center for Human Services | Community/Behavioral Health | 1317 Grandview Ave, Ceres, CA 95307-4405 | 2008-10-31 |
| 1669675609 | Center for Human Services | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2007-06-07 |
| 1194858076 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2007-03-13 |
| 1437288222 | Center for Human Services | Community/Behavioral Health | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2007-03-05 |
| 1730266917 | Center for Human Services | Counselor | 22105 23rd Dr Se, Bothell, WA 98021-4409 | 2006-11-01 |
| 1053498220 | Center for Human Services | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2006-11-01 |
| 1063963015 | Center for Human Services | Community/Behavioral Health | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR HUMAN SERVICES CORPORATION | 5404 Wisconsin Ave Ste 800, Chevy Chase, MD 20815-3594 |
| Street Address |
23200 100TH AVE W |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497099436 | Kristen Spade | Licensed Practical Nurse | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
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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.