OLIVE CREST (NPI# 1508491697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508491697 |
| Entity Type | Organization |
| Organization Name | OLIVE CREST |
| Practice Address |
3516 S 47th St Ste 203 Tacoma WA 98409-4475 |
| Mailing Address |
2130 E 4th St Ste 200 Santa Ana CA 92705-3818 |
| Practice Telephone | 2535727888 |
| Practice Fax Number | 2535727727 |
| Mailing Telephone | 7148567177 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. DONALD VERLEUR (CEO) |
| Authorized Official Telephone | 7145435437 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1144865379 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1235774464 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20025 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1245875467 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste A, Perris, CA 92570-7170 | 2019-11-12 |
| 1174168397 | Olive Crest | Community Based Residential Treatment Facility, Mental Illness | 20051 Vista Del Lago Ste B, Perris, CA 92570-7170 | 2019-11-12 |
| 1720551971 | Olive Crest | Community/Behavioral Health | 4510 E Pacific Coast Hwy Ste 450, Long Beach, CA 90804-6924 | 2019-01-09 |
| 1215418165 | Olive Crest | Community/Behavioral Health | 525 Technology Ct Ste 102, Riverside, CA 92507-2181 | 2018-08-28 |
| 1659878809 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 13442 Malena Dr, Santa Ana, CA 92705-1912 | 2018-04-12 |
| 1366949513 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 19356 Saylor Terrace, Santa Ana, CA 92705 | 2018-04-12 |
| 1578060919 | Olive Crest | Residential Treatment Facility, Emotionally Disturbed Children | 159 N Wheeler St, Orange, CA 92869-3217 | 2018-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLIVE CREST | 2130 East 4th Street Ste 200, Santa Ana, CA 92705-3818 |
| Washington State Corporations | OLIVE CREST | 2500 116th Ave Ne, Bellevue, WA 98004 |
| Washington State Corporations | OLIVE CREST INVESTORS LLC | 720 Seneca St, Suite B, Seattle, WA 98101-3265 |
| System for Award Management (SAM) Entities | OLIVE CREST LEARNING TREE | 7180 N 60th St, Omaha, NE 68152-2207 |
| Street Address |
3516 S 47TH ST STE 203 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740826593 | Kerry Ann Shaughnessy | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2019-11-26 |
| 1982214052 | Katie Lynn Bass | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-08-04 |
| 1497364582 | Kelly Kalalau | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-24 |
| 1437767001 | Rachel Lorraine Snodgrass | Marriage & Family Therapist | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1790393387 | Sarah Kristen Trott | Counselor | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1598373128 | Amy Lynne Jonson | Counselor | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1720696669 | Janelle Renae Dittus | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| 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 |
|---|---|---|---|---|
| 1003446857 | Tran Urgent Care & Wellness Centers LLC | Community/Behavioral Health | 710b S 38th St, Tacoma, WA 98418-6718 | 2020-01-21 |
| 1851931042 | Taylor Cassandra Budnick | Community/Behavioral Health | 1305 Tacoma Ave S Ste 302, Tacoma, WA 98402-1903 | 2020-01-15 |
| 1730686445 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-09 |
| 1013428432 | Seneca Family of Agencies | Community/Behavioral Health | 409 Puyallup Ave, Tacoma, WA 98421-1316 | 2017-10-12 |
| 1275043663 | Seneca Family of Agencies | Community/Behavioral Health | 2136 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-11 |
| 1629588223 | Seneca Family of Agencies | Community/Behavioral Health | 1301 E 34th St, Tacoma, WA 98404-3906 | 2017-10-09 |
| 1497114342 | Olympic Psychology Services, Pllc | Community/Behavioral Health | 711 Court A Ste 114, Tacoma, WA 98402-5227 | 2016-02-22 |
| 1891150504 | Adonai Counseling & Employment Inc. | Community/Behavioral Health | 4104 South M Street, Tacoma, WA 98418-3836 | 2015-12-22 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1275904245 | Jennifer Croke Psychotherapy | Community/Behavioral Health | 5006 Varco Rd Ne, Tacoma, WA 98422-1806 | 2015-10-15 |
| Find all providers in TACOMA | ||||
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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.