WILLAPA BEHAVIORAL HEALTH


Address: 2204 Pacific Ave. N., Long Beach, WA 98631
Phone: 3606423787

WILLAPA BEHAVIORAL HEALTH (NPI# 1033755244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033755244
Entity Type Organization
Organization Name WILLAPA BEHAVIORAL HEALTH
Practice Address 2204 Pacific Ave. N.
Long Beach
WA 98631
Practice Telephone 3606423787
Mailing Telephone 3606423787
Enumeration Date 2019-11-22
Last Update Date 2020-04-01
Authorized Official Name MS. MELODIE NICHELLE PRESLER (PEER SUPPORT)
Authorized Official Telephone 3602055576
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205296142 Willapa Behavioral Health Community/Behavioral Health 2204 Pacific Ave N, Long Beach, WA 98631-3300 2016-03-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WILLAPA BEHAVIORAL HEALTH 2204 Pacific Ave N, Long Beach, WA 98631-3300

Office Location

Street Address 2204 PACIFIC AVE. N.
City LONG BEACH
State WA
Zip Code 98631

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063048197 Peninsula Pharmacies Inc Long Beach Pharmacy Annex Pharmacy 110 Oregon Ave S, Long Beach, WA 98631 2020-03-20
1427576362 Susan Amy Goldsmith Social Worker 607 Ocean Beach Blvd. N., Long Beach, WA 98631 2017-08-30
1558724302 Jesse Wityczak Pharmacist 101 Bolstad Ave E, Long Beach, WA 98631 2016-03-30
1659618007 Teresa Mary Fleck Speech-Language Pathologist 400 S Washington, Long Beach, WA 98631 2013-01-04
1639400385 Wendy Liu Counselor 2204 Pacififc Avenue N, Long Beach, WA 98631 2010-01-20
1093046088 Diane L Adams Counselor 2204 Pacific Avenue N, Long Beach, WA 98631 2010-01-15
1538498076 Steven R Fox Counselor 22004 Pacific Way N, Long Beach, WA 98631 2009-12-11
1295907137 Brandon L Adams Md Ps General Practice 105 6th St, Long Beach, WA 98631 2008-04-01
1710188263 Willapa Counseling Center Clinic/Center 1107 Pacific Avenue North, Long Beach, WA 98631 2007-05-31
1720204779 Darren L Thorsen, Od Optometrist 1703 South Pacific Ave, Long Beach, WA 98631 2007-04-18
Find all providers in zip 98631

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy 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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396223889 Jolissa Evelyn Hebard Peer Specialist 2646 Ostrom Ave, Long Beach, CA 90815-1601 2018-08-06
1629691191 Melodie Nichelle Presler Peer Specialist 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-05-19
1417590324 Arielle Stewart Peer Specialist 2204 Pacific Ave N, Long Beach, WA 98631-3300 2019-10-23
1861890881 Pamela Mccowen Peer Specialist 456 Elm Ave, Long Beach, CA 90802-2426 2014-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992304703 Corina Thornton Peer Specialist Arrow Lakes Street, Nespelem, WA 99155-0304 2020-10-22
1578161402 Yavonnie Leslie Griggs Peer Specialist 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 2020-10-13
1306454061 Ashley D Vinson-harris Peer Specialist 116 S 339th Cir, Federal Way, WA 98003-4537 2020-07-20
1184240301 Aleric Hughes Peer Specialist 1200 Sw Holden St, Seattle, WA 98106-2054 2020-06-23
1013533876 Alyssa Camille Meaker Peer Specialist 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 2020-06-17
1134741424 Tara Lin Garcia Peer Specialist 4256 Federal Avenue, Everett, WA 98203 2020-05-11
1558982058 Edward Thomas Gollihugh Peer Specialist 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 2020-05-06
1295356483 Yvette Marie Sampson Peer Specialist Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 2020-04-29
1043856123 Jayde Wailani Albright Peer Specialist 5920 N Calispel St, Spokane, WA 99205-6214 2019-11-23
1104468362 Lyric G Sisterhen Peer Specialist 7823 Box Elder Dr Sw, Olympia, WA 98512-2326 2019-10-09
Find all providers with the same taxonomy

Competitor

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City LONG BEACH
Zip Code 98631

Improve Information

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Dataset Information

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.

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