CONSEJO COUNSELING AND REFERRAL SERVICE - SHELTON (NPI# 1184101966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184101966 |
| Entity Type | Organization |
| Organization Name | CONSEJO COUNSELING AND REFERRAL SERVICE - SHELTON |
| Practice Address |
627 W Franklin St Shelton WA 98584-3504 |
| Mailing Address |
3808 S Angeline St Seattle WA 98118-1712 |
| Practice Telephone | 3607635610 |
| Practice Fax Number | 3604620449 |
| Mailing Telephone | 2064614880 |
| Mailing Fax Number | 2064616989 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | MARIO PAREDES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2064614880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DBHR SITE LICENSE ID | 200488 | 01 |
| Street Address |
627 W FRANKLIN ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902084544 | L C Leblanc | Counselor | 627 W Franklin St, Shelton, WA 98548 | 2008-02-06 |
| 1134752363 | Amanda Nicole Marquez | Social Worker | 627 W Franklin St, Shelton, WA 98584-3504 | 2020-02-17 |
| 1578193173 | Vilma Teresa Gonzalez | Case Manager/Care Coordinator | 627 W Franklin St, Shelton, WA 98584-3504 | 2020-01-22 |
| 1265099691 | Yvonne Maria Trejo | Case Manager/Care Coordinator | 627 W Franklin St, Shelton, WA 98584-3504 | 2019-05-21 |
| 1598238560 | Lorraine Jean Scott | Case Manager/Care Coordinator | 627 W Franklin St, Shelton, WA 98584-3504 | 2019-01-02 |
| 1922579051 | Nolvia Barahona | Peer Specialist | 627 W Franklin St, Shelton, WA 98584-3504 | 2018-12-16 |
| 1730650128 | Maira Gonzalez-vielma | Counselor | 627 W Franklin St, Shelton, WA 98584-3504 | 2018-12-10 |
| 1538643853 | Peninsula Community Health Services | Family Medicine | 627 W Franklin St, Shelton, WA 98584-3504 | 2018-09-21 |
| 1215410550 | Ivelisse Vallellanes Santiago | Counselor | 627 W Franklin St, Shelton, WA 98584-3504 | 2018-09-12 |
| 1861975021 | Swilenn Alexandra Almendarez | Counselor | 627 W Franklin St, Shelton, WA 98584-3504 | 2018-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| 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 |
|---|---|---|---|---|
| 1023515806 | Mindy A. Natale, Lmft, LLC | Community/Behavioral Health | 525 Bridgeport Ave Unit 100, Shelton, CT 06484-4700 | 2018-04-09 |
| 1073864849 | Basics Nw, LLC | Community/Behavioral Health | 50 Se Blue Heron Ln, Shelton, WA 98584-7658 | 2012-09-20 |
| 1639328818 | Developmental Disability Counseling Services | Community/Behavioral Health | 21 Catlin Pl, Shelton, CT 06484-4403 | 2008-09-12 |
| 1194896654 | Behavioral Health Resources | Community/Behavioral Health | 110 W K St, Shelton, WA 98584-2939 | 2006-11-13 |
| 1205487477 | Sterling Center, LLC | Community/Behavioral Health | 1000 Bridgeport Ave, Shelton, CT 06484-4660 | 2019-09-27 |
| 1992207690 | Tracy Clough, Lcsw, LLC | Community/Behavioral Health | 515 Bridgeport Ave, Journey To Wellness Suite, Shelton, CT 06484 | 2018-03-08 |
| 1083825764 | New Directions Counseling, LLC | Community/Behavioral Health | 506 W Franklin St, Shelton, WA 98584-3518 | 2007-05-24 |
| 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.