CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON (NPI# 1487026076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487026076 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON |
| Other Organization Name | FBH TUKWILA |
| Practice Address |
631 Strander Blvd Ste A Tukwila WA 98188 |
| Mailing Address |
631 Strander Blvd Ste A Tukwila WA 98188-2963 |
| Practice Telephone | 2538502500 |
| Practice Fax Number | 2538502530 |
| Enumeration Date | 2015-10-22 |
| 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 |
| Other Name | Type Code |
|---|---|
| FBH Tukwila | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1427580646 | Catholic Community Services of Western Washington | Clinic/Center | 2625 Wheaton Way, Suite B, Bremerton, WA 98310-3371 | 2017-03-28 |
| 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 |
631 STRANDER BLVD STE A |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353403 | Neli Olea | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-10-12 |
| 1811503279 | Dezarie Camille Taylor | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-09-21 |
| 1033730221 | Charmayne Hanson | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-04-29 |
| 1891316071 | Kayana Reams | Peer Specialist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-04-29 |
| 1598385536 | Jamie R Vanbeek | Counselor | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2020-04-20 |
| 1194362426 | Leonor Donayre | Case Manager/Care Coordinator | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-12-05 |
| 1710520762 | Jessica Taylor | Marriage & Family Therapist | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-10-22 |
| 1164063046 | Sonya Joy Lantz | Case Manager/Care Coordinator | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-10-02 |
| 1417598475 | Noemi Correa | Case Manager/Care Coordinator | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-10-01 |
| 1922659333 | Nicole Gehlbach-wilson | Case Manager/Care Coordinator | 631 Strander Blvd Ste A, Tukwila, WA 98188-2963 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| 1275897043 | Barbara J Sitsch | Nurse Practitioner | 7100 Fort Dent Way, Ste 220, Seattle, WA 98188 | 2012-06-27 |
| Find all providers in zip 98188 | ||||
| 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 |
|---|---|---|---|---|
| 1689961500 | North Star Treatment Group, LLC | Community/Behavioral Health | 130 Andover Park E Ste B105, Tukwila, WA 98188-2907 | 2011-06-29 |
| 1780774950 | Sound Mental Health | Community/Behavioral Health | 6400 Southcenter Blvd, Tukwila, WA 98188-2547 | 2006-10-16 |
| 1174928501 | Seneca Family of Agencies | Community/Behavioral Health | 3438 S 148th St, Tukwila, WA 98168-4319 | 2014-10-28 |
| 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.