TELECARE MENTAL HEALTH SERVICES OF WASHINGTON INC (NPI# 1134650427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134650427 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON INC |
| Other Organization Name | NORTH SOUND PEER BRIDGER |
| Practice Address |
1803 N Sound Dr Sedro Woolley WA 98284-7697 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 3608547400 |
| Practice Fax Number | 3608547445 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | LESLLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| North Sound Peer Bridger | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639692437 | Telecare Mental Health Services of Washington Inc | Psychiatric Residential Treatment Facility | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2017-07-24 |
| 1912420449 | Telecare Mental Health Services of Washington Inc | Psychiatric Residential Treatment Facility | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2017-07-17 |
| Street Address |
1803 N SOUND DR |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-7697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659758639 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2015-04-29 |
| 1669088126 | Tammy L Reynolds | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-09-21 |
| 1689292005 | Nora Ann Tueffel | Registered Nurse | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-07-13 |
| 1265059927 | Marisa Lynn Kimmel | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-06-29 |
| 1669096319 | Monica Samuel | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-05-28 |
| 1154958189 | Debbie Vancooney | Technician, Health Information | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-03-27 |
| 1891322814 | Kathleen Farnsworth | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-03-27 |
| 1114550811 | Natalie Littlejohn | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-02-20 |
| 1619500568 | Tracie Grace | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2020-02-19 |
| 1689216343 | Peyton Emelia Kettleband | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| 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 |
|---|---|---|---|---|
| 1326315771 | Sunrise Services, Inc | Community/Behavioral Health | 10212 Collins Rd, Sedro Woolley, WA 98284-8721 | 2011-11-29 |
| 1912563883 | Pioneer Human Services | Community/Behavioral Health | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2019-05-15 |
| 1043711880 | Joshua Lee Crosson | Community/Behavioral Health | 1960 Thompson Drive, Sedro Woolley, Wa 98284, Sedro Woolley, WA 98284 | 2018-02-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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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.