GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION (NPI# 1285155366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285155366 |
| Entity Type | Organization |
| Organization Name | GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION |
| Other Organization Name | GREAT RIVERS BEHAVIOR HEALTH AGENCY DBA COMMUNITY |
| Practice Address |
57 W Main Street Suite 260 Chehalis WA 98532 |
| Mailing Address |
Po Box 1447 Chehalis WA 98532 |
| Practice Telephone | 3607955955 |
| Practice Fax Number | 3607408099 |
| Mailing Telephone | 3607955955 |
| Mailing Fax Number | 3607408099 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. MARC EDMUND BOLLINGER (ADMINISTRATOR) |
| Authorized Official Telephone | 3607955955 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | Y |
| Parent Organization Name | GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 603564565 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 200458 | 05 |
| Other Name | Type Code |
|---|---|
| Great Rivers Behavior Health Agency | Doing Business As Name - Organization |
| Great Rivers Behavior Health Agency dba Community | Doing Business As Name - Organization |
| Great Rivers Behavior Health Agency dba Community Integrated Health Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION | 57 W Main St Ste 260, Chehalis, WA 98532-4815 |
| Washington State Corporations | GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION LLC | 57 W Main St Ste 260, Chehalis, WA 98532-4815 |
| Street Address |
57 W MAIN STREET SUITE 260 |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| 1780130625 | Dr.e.fletcher,llc | Dentist | 256 Northwest Park Street, Chehalis, WA 98532 | 2016-08-31 |
| Find all providers in zip 98532 | ||||
| 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 |
|---|---|---|---|---|
| 1972122497 | Hope & Healing Solutions | Community/Behavioral Health | 2401 Ne Kresky Ave Ste B, Chehalis, WA 98532-2435 | 2020-04-14 |
| 1043861743 | Great Rivers Behavioral Health Administrative Services Organization | Community/Behavioral Health | 57 W Main St Ste 185, Chehalis, WA 98532-4815 | 2019-09-24 |
| 1851760185 | April Kay Thovson, Licensed Mental Health Counselor | Community/Behavioral Health | 789 Sw Chehalis Ave, Chehalis, WA 98532-3223 | 2015-09-16 |
| 1356551717 | New Directions Counseling, LLC | Community/Behavioral Health | 1956 Ne Kresky Ave, Chehalis, WA 98532-2307 | 2007-05-23 |
| 1407209505 | Walmart | Community/Behavioral Health | 1601 Nw Louisiana Ave, Chehalis, WA 98532-1700 | 2016-07-13 |
| 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 | ||||
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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.