CATHOLIC COMMUNITY SERVICES WW (NPI# 1568785293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568785293 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES WW |
| Other Organization Name | CCSWW-FPS OLYMPIA |
| Practice Address |
1202 Black Lake Blvd Sw Ste B Olympia WA 98502-7208 |
| Practice Telephone | 3608788248 |
| Mailing Telephone | 3608788248 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | STEPHANIE MARGUERITE THELEN (SYSTEM IMPLEMENTATION SPECIALIST) |
| Authorized Official Telephone | 2537599544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 169 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | COMMUNITY MENTAL HEALTH LICENSE | 169 | 01 |
| Other Name | Type Code |
|---|---|
| CCSWW-FPS Olympia | Other Name - Individual/Organization |
| Street Address |
1202 BLACK LAKE BLVD SW STE B |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839125 | Maya Ledoux | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-10-21 |
| 1629682893 | Charli Warren | Peer Specialist | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-09-03 |
| 1700494184 | Jodie Beth Martin | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-07-21 |
| 1174146419 | Jatou Saho | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-05-21 |
| 1174146625 | Grace Elisabeth Hendry | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-05-19 |
| 1083234231 | Ashley Joyce Ramos | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-04-17 |
| 1801425608 | Halida Markovic | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2020-04-03 |
| 1396389300 | Krystal Marie Lucero | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-11-01 |
| 1003459454 | Sheryl Stone-carle | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-10-17 |
| 1558902254 | Linnea Marie Swartz | Counselor | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| 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 |
| 1255571063 | Capital Clubhouse | Community/Behavioral Health | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2009-03-06 |
| 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.