GREATER LAKES MENTAL HEALTH FOUNDATION INC (NPI# 1225039811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225039811 |
| Entity Type | Organization |
| Organization Name | GREATER LAKES MENTAL HEALTH FOUNDATION INC |
| Other Organization Name | GREATER LAKES MENTAL HEALTHCARE |
| Practice Address |
9330 59th Ave Sw Lakewood WA 98499-2858 |
| Practice Telephone | 2535817020 |
| Practice Fax Number | 2536205149 |
| Mailing Telephone | 2535817020 |
| Mailing Fax Number | 2536205149 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | MR. WILLIAM GLENN CZERWINSKI (COO) |
| Authorized Official Telephone | 2536205134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 052 | WA | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1043327 | 05 | |
| WA | 1984301 | 05 | |
| WA | 7029689 | 05 | |
| WA | 9633157 | 05 |
| Other Name | Type Code |
|---|---|
| Greater Lakes Mental Healthcare | Doing Business As Name - Organization |
| Street Address |
9330 59TH AVE SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063915 | Taibika O Lofton | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1164023552 | Meaghan Nicole Trezza | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1295335362 | Estrella Nicole Alderete | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-28 |
| 1760081004 | Taylor Shae Brenneise | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-19 |
| 1508463324 | Lacey Lynn Gomez | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-05 |
| 1487261186 | Mallory Enola O'brien | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-26 |
| 1912513136 | Ashley Maeve Marrow | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-6600 | 2020-09-22 |
| 1376158527 | Sydney Freutel | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-14 |
| 1063027522 | Tiffany Lynn Myers | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-11 |
| 1952916702 | Dawn Kundert | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1114545126 | Hope Mountain, LLC | Clinic/Center | 6565 W Jewell Ave # 4b1, Lakewood, CO 80232-7187 | 2020-07-07 |
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1225677123 | Silvercare Agency LLC | Clinic/Center | 1483 E Spruce St, Lakewood, NJ 08701-5444 | 2019-12-26 |
| 1306484225 | Silver Care Agency LLC | Clinic/Center | 105 Carasaljo Dr, Lakewood, NJ 08701-2311 | 2019-12-11 |
| 1093351827 | Silver Care Agency LLC | Clinic/Center | 725 Vassar Ave, Lakewood, NJ 08701-6908 | 2019-11-27 |
| 1700422953 | Silver Care Agency LLC | Clinic/Center | 1 E 13th St, Lakewood, NJ 08701-1912 | 2019-11-22 |
| 1073170510 | Preferred Behavioral Health of Nj | Clinic/Center | 725 Airport Rd Ste 2b, Lakewood, NJ 08701-5968 | 2019-05-21 |
| 1073076501 | Jade Recovery Inc | Clinic/Center | 255 S Routt St Ste 265, Lakewood, CO 80228-2271 | 2019-04-11 |
| 1073004131 | Lakewest Dbt Center LLC | Clinic/Center | 15711 Madison Ave Ste 102, Lakewood, OH 44107-5655 | 2018-05-24 |
| 1295237212 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1200 River Ave Ste 9d, Lakewood, NJ 08701-5657 | 2018-03-06 |
| Find all providers in LAKEWOOD | ||||
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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.