SUQUAMISH TRIBE (NPI# 1083747216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083747216 |
| Entity Type | Organization |
| Organization Name | SUQUAMISH TRIBE |
| Other Organization Name | SUQUAMISH TRIBE WELLNESS PROGRAM |
| Practice Address |
18513 Augusta Ave Suquamish WA 98392 |
| Mailing Address |
18490 Suquamish Way Ne Po Box 1228 Suquamish WA 98392-9532 |
| Practice Telephone | 3603945200 |
| Practice Fax Number | 3605981724 |
| Mailing Telephone | 3603945200 |
| Mailing Fax Number | 3605981724 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEONARD FORSMAN (CHAIR, SUQUAMISH TRIBAL COUNCIL) |
| Authorized Official Telephone | 3605983311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 18110000 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1980895 | 05 | |
| WA | 7127848 | 05 | |
| WA | 1992858 | 05 | |
| WA | 7127855 | 05 |
| Other Name | Type Code |
|---|---|
| Suquamish Tribe Wellness Program | Doing Business As Name - Organization |
| Street Address |
18513 AUGUSTA AVE |
| City | SUQUAMISH |
| State | WA |
| Zip Code | 98392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396251070 | Shery Werbelo | Behavior Technician | 18485 4th Ave Ne, Suquamish, WA 98392 | 2017-12-18 |
| 1336331586 | Martha Jo Mitchell-colby | Counselor | 18513 Augusta Avenue, Suquamish, WA 98392 | 2007-08-13 |
| 1518336759 | Sable Elizabeth Bruce | Counselor | 18490 Suquamish Way Ne, Suite 107, Suquamish, WA 98392-9532 | 2015-09-17 |
| 1548602543 | Frances Galasyn Miller | Dietitian, Registered | 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 | 2013-07-19 |
| 1568809184 | Barbara L Hoffman | Registered Nurse | 18490 Suquamish Way Ne, Suquamish, WA 98392-9532 | 2013-05-23 |
| 1073705216 | Martin Bussey | Counselor | 18490 Suquamish Way Ne, Unit 107, Suquamish, WA 98392-9533 | 2007-08-13 |
| 1174740492 | Dolores Mcconaghy | Counselor | 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392-9533 | 2007-04-19 |
| 1033480579 | Robin Lee Nielsen | Counselor | 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392-9533 | 2012-01-13 |
| 1477821171 | Brian Graham Burwell | Counselor | 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392-9533 | 2011-12-08 |
| 1942506845 | Michele Diane Clayton-kaster | Counselor | 18490 Suquamish Way Ne Unit 107, Suquamish, WA 98392-9533 | 2011-02-10 |
| Find all providers in zip 98392 | ||||
| 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 |
|---|---|---|---|---|
| 1144821539 | Cpf Breakthrough, LLC | Community/Behavioral Health | 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 | 2020-11-03 |
| 1538760111 | Nw Family Recovery Solutions | Community/Behavioral Health | 710 Bay St, Port Orchard, WA 98366-5310 | 2020-11-02 |
| 1891395091 | Art Nelson LLC | Community/Behavioral Health | 18679 15th Loop Ne, Poulsbo, WA 98370-7436 | 2020-10-27 |
| 1508463803 | Kim Lampson Pllc | Community/Behavioral Health | 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 | 2020-10-08 |
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1659980563 | Deborah M Connors Pllc | Community/Behavioral Health | 534 Ne Everett St Ste 201, Camas, WA 98607-2025 | 2020-07-27 |
| 1790393221 | Charmd Behavioral & Health LLC | Community/Behavioral Health | 4318 233rd Pl Se, Bothell, WA 98021-9057 | 2020-07-21 |
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
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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.