PORT GAMBLE S'KLALLAM MENTAL HEALTH (NPI# 1154480051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154480051 |
| Entity Type | Organization |
| Organization Name | PORT GAMBLE S'KLALLAM MENTAL HEALTH |
| Practice Address |
32014 Little Boston Rd Ne Kingston WA 98346-9734 |
| Practice Telephone | 3602979601 |
| Practice Fax Number | 3602979614 |
| Mailing Telephone | 3602979601 |
| Mailing Fax Number | 3602979614 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KERSTIN MARGARETA POWELL (HEALTH CENTER BUSINESS OFFICE MANAG) |
| Authorized Official Telephone | 3602979601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1980929 | 05 |
| Street Address |
32014 LITTLE BOSTON RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942257027 | Piero Francis Sandri | Specialist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-05-27 |
| 1518585579 | Port Gamble S'klallam Tribe | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2020-07-07 |
| 1467874156 | Lane Daniel | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2014-01-14 |
| 1902056955 | Dorie M Salem-soule | Dental Hygienist | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-09-26 |
| 1447418785 | Katarzyna Hoskins | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-22 |
| 1417114869 | Deanna Griffeth | Counselor | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2008-05-21 |
| 1760677140 | Carol J Croff | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-10 |
| 1952596629 | Holly A Blanton | Registered Nurse | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-09-06 |
| 1043435563 | Port Gamble S'klallam Orca Pride | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-17 |
| 1649391871 | Port Gamble S'klallam Social Services | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335410 | Bayside Counseling and Consulting | Clinic/Center | 40 Cedar Ln, Kingston, MA 02364-1743 | 2020-01-11 |
| 1720157613 | Southern Oklahoma Treatment Services, Inc. | Clinic/Center | 500 North Hwy 70, Kingston, OK 73439 | 2006-11-07 |
| 1447574439 | Amy Elizabeth Gordon | Clinic/Center | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2010-03-18 |
| 1730410515 | Mollie Williams | Clinic/Center | 717b Highway 70 E, Kingston, OK 73439-8253 | 2010-01-19 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1730325531 | Grunblatt Psychology and Counseling Offices, P.C. | Clinic/Center | 124 Green St, Kingston, NY 12401-4422 | 2008-12-29 |
| 1568631513 | Luzerne Wyoming County Mental Health Center #1 | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2008-02-25 |
| 1285803239 | Luzerne Wyoming County Mental Health Center #1 | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2008-02-25 |
| 1578684973 | Luzerne Wyoming County Mh Center #1 | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-03 |
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|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
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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.