CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON (NPI# 1427580646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427580646 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON |
| Other Organization Name | FBH BREMERTON |
| Practice Address |
2625 Wheaton Way Suite B Bremerton WA 98310-3371 |
| Practice Telephone | 3607922020 |
| Practice Fax Number | 3604786993 |
| Mailing Telephone | 3607922020 |
| Mailing Fax Number | 3604786993 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Telephone | 2537613898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DBHR | 200326 | 01 |
| Other Name | Type Code |
|---|---|
| Family Behavioral Health | Other Name - Individual/Organization |
| FBH Bremerton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1124396932 | Catholic Community Services of Western Washington | Community/Behavioral Health | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2011-12-07 |
| 1699804435 | Catholic Community Services of Western Washington | Clinic/Center | 702 S 14th St, Tacoma, WA 98405-4407 | 2007-03-05 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1245376235 | Catholic Community Services of Western Washington | Foster Care Agency | 1323 S. Yakima Ave, Tacoma, WA 98405 | 2007-01-29 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1841348380 | Catholic Community Services of Western Washington | Clinic/Center | 1229 W Smith St, Kent, WA 98032-4317 | 2007-01-08 |
| 1184786451 | Catholic Community Services of Western Washington | Community/Behavioral Health | 1918 Everett Ave, Everett, WA 98201-3607 | 2006-12-14 |
| 1548332190 | Catholic Community Services of Western Washington | Clinic/Center | 1133 Railroad Ave, Bellingham, WA 98225-5055 | 2006-11-15 |
| 1750849592 | Catholic Community Services of Western Washington | Clinic/Center | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 1904 Se Division Street, Portland, OR 97202 |
| Washington State Corporations | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 100 23rd Ave S, Seattle, WA 98144 |
| Street Address |
2625 WHEATON WAY SUITE B |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497729 | Wallace C Volz | Dentist | 2625 Wheaton Way, Ste D, Bremerton, WA 98310-3372 | 2005-06-16 |
| 1851910368 | Jacob Zocco | Peer Specialist | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2020-04-14 |
| 1821567231 | Kathryn Ann Goins | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-11-14 |
| 1821563644 | Benjamin Cole Harriott | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-10-08 |
| 1326522897 | Susan Denise Horton | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-09-20 |
| 1013400688 | Amanda Lee Johnson | Case Manager/Care Coordinator | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2018-06-08 |
| 1760919443 | Abigail Smith | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2017-05-12 |
| 1588056121 | Cassandra Michele Elowski | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2015-02-18 |
| 1720228109 | Richelle L Jordan | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2009-02-25 |
| 1578619409 | Renee G Miller | Counselor | 2625 Wheaton Way, Bremerton, WA 98310-3371 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| 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 |
|---|---|---|---|---|
| 1982160503 | The Coffee Oasis | Community/Behavioral Health | 837 4th St, Bremerton, WA 98337-1424 | 2019-02-19 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1316391626 | Recapturing Dreams Counseling | Community/Behavioral Health | 3320 Narrows View Ln Ne Unit 102, Bremerton, WA 98310-2270 | 2016-04-22 |
| 1972668945 | Advantages Counseling Services | Community/Behavioral Health | 645 4th St Ste 201, Bremerton, WA 98337-1402 | 2006-12-27 |
| 1457413700 | Rmh Services | Community/Behavioral Health | 1104 Pitt Ave, Bremerton, WA 98310-4418 | 2006-12-14 |
| 1346508074 | A Advantages Counseling Service | Community/Behavioral Health | 645 4th St Ste 201, Bremerton, WA 98337-1402 | 2012-05-01 |
| 1497905723 | Jimi James, Phd, Inc, Ps | Community/Behavioral Health | 7500 Old Military Rd Ne, Suite 101, Bremerton, WA 98311-3241 | 2008-09-23 |
| 1033268008 | Kitsap Mental Health Services | Community/Behavioral Health | 5455 Almira Dr Ne, Bremerton, WA 98311 | 2007-01-09 |
| 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 | ||||
Please comment or provide details below to improve the information on CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON.
| 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.