CENTER FOR HUMAN SERVICES (NPI# 1053498220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053498220 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HUMAN SERVICES |
| Other Organization Name | CHS SHORELINE 170TH |
| Practice Address |
17018 15th Ave Ne Shoreline WA 98155-5126 |
| Practice Telephone | 2063627282 |
| Practice Fax Number | 2063627152 |
| Mailing Telephone | 2063627282 |
| Mailing Fax Number | 2063627152 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-09-17 |
| Authorized Official Name | BERATTA GOMILLION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063627282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | 17015900 | WA | Agencies |
| N | 251S00000X | Community/Behavioral Health | 17015900 | WA | Agencies |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
154 | WA | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
17015900 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1990308 | 05 |
| Other Name | Type Code |
|---|---|
| CHS Shoreline 170th | 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 |
| 1023197795 | Center for Human Services | Counselor | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2006-11-03 |
| 1730266917 | Center for Human Services | Counselor | 22105 23rd Dr Se, Bothell, WA 98021-4409 | 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 |
17018 15TH AVE NE |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562598 | Kariza Gregoria Marinas | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5137 | 2020-06-12 |
| 1215558770 | Krystiana Giron | Social Worker | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2020-05-06 |
| 1932734050 | Caitlyn Hynes | Social Worker | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2020-03-09 |
| 1609401116 | Montalia Hamilton | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2020-03-04 |
| 1336774843 | Aldo Roberto Nunez | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2020-03-04 |
| 1831722602 | Delia Ernst | Student in an Organized Health Care Education/Training Program | 17018 15th Ave Ne, Shoreline, WA 98155-5137 | 2020-02-19 |
| 1285266999 | Jennifer Esmeralda Favela | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2020-02-11 |
| 1558909382 | Nicole Elizabeth Karmil | Student in an Organized Health Care Education/Training Program | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2019-12-11 |
| 1518509074 | Molly Carroll | Case Manager/Care Coordinator | 17018 15th Ave Ne, Shoreline, WA 98155-5137 | 2019-10-16 |
| 1619518172 | Christina Zawaideh | Peer Specialist | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2019-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| 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 |
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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.