CAPITAL CLUBHOUSE (NPI# 1255571063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255571063 |
| Entity Type | Organization |
| Organization Name | CAPITAL CLUBHOUSE |
| Other Organization Name | CAPITAL RECOVERY CENTER |
| Practice Address |
1000 Cherry St Se Olympia WA 98501-1433 |
| Practice Telephone | 3603572582 |
| Practice Fax Number | 3603572821 |
| Mailing Telephone | 3603572582 |
| Mailing Fax Number | 3603572821 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MRS. KATRINA RACHELE MCCOY (OPERATIONS MANAGER) |
| Authorized Official Telephone | 3603572582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 601-217-168 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2002974 | 05 |
| Other Name | Type Code |
|---|---|
| Capital Recovery Center | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CAPITAL CLUBHOUSE | 1000 Cherry St Se, Olympia, WA 98501-1433 |
| Street Address |
1000 CHERRY ST SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412756 | Sara Joy Drebis | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2020-03-20 |
| 1740829258 | Angela L. Warner-rein | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-12-31 |
| 1891337218 | Sofi Renes | Registered Nurse | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-10-17 |
| 1184271918 | James Morris | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-08-26 |
| 1881248169 | Carol Varble | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1255985537 | David Michael Richardson | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-25 |
| 1609420033 | Terry Curtis Graham | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| 1114571551 | Heather Sturdevant | Peer Specialist | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| 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 |
|---|---|---|---|---|
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1972992139 | Life Therapeutic Works LLC | Community/Behavioral Health | 3801 S Bay Loop Ne, Olympia, WA 98506-2648 | 2015-01-12 |
| 1831594068 | Behavioral Health Resources | Community/Behavioral Health | 3859 Martin Way E, Olympia, WA 98506-5268 | 2014-10-30 |
| 1124392618 | First Things First 123, LLC | Community/Behavioral Health | 1905 4th Ave. East, Suite B, Olympia, WA 98506 | 2012-02-29 |
| 1568785293 | Catholic Community Services Ww | Community/Behavioral Health | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2010-03-09 |
| 1912561838 | Recovery Innovations, Inc | Community/Behavioral Health | 3432 S Bay Rd Ne, Olympia, WA 98506-2958 | 2019-04-25 |
| 1720589583 | Morningside | Community/Behavioral Health | 809 Legion Way Se, Olympia, WA 98501-1518 | 2018-02-26 |
| 1780195214 | Catholic Community Services | Community/Behavioral Health | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2017-10-24 |
| 1275073926 | Adaptive Living, LLC | Community/Behavioral Health | 805 Carlyon Ave Se, Olympia, WA 98501-3501 | 2017-02-28 |
| 1053865873 | Compassionate Pathways Psychology Services, LLC | Community/Behavioral Health | 1021 Legion Way Se, Olympia, WA 98501-1522 | 2016-08-10 |
| Find all providers in OLYMPIA | ||||
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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.