IMAGINE BEHAVIORAL & DEVELOPMENTAL SERVICES (NPI# 1619211042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619211042 |
| Entity Type | Organization |
| Organization Name | IMAGINE BEHAVIORAL & DEVELOPMENTAL SERVICES |
| Other Organization Name | SL START & ASSOCIATES, LLC |
| Practice Address |
5709 W Sunset Hwy Ste 101 Spokane WA 99224-9446 |
| Mailing Address |
1575 Allouez Ave Green Bay WI 54311-5639 |
| Practice Telephone | 5092092739 |
| Practice Fax Number | 9208573366 |
| Mailing Telephone | 9208579041 |
| Mailing Fax Number | 9208573366 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | HEIDI MORAGO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9208579041 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARAVEL AUTISM HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| SL Start & Associates, LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7401 W Grandridge Blvd Ste 102, Kennewick, WA 993367831 | 5092092739 | 9208573366 |
| 6505 218th St Sw Ste 12, Mountlake Terrace, WA 980432135 | 4255631093 | 9208573366 |
| 8815 S Tacoma Way Ste 122, Lakewood, WA 984997011 | 2536820320 | 9208573366 |
| 8811 South Tacoma Way, Suite 204 and 206, Lakewood, WA 98499 | 2536820320 | 9208573366 |
| 1800 112th Ave Ne Ste 260e, Bellevue, WA 980042937 | 4256432133 | 9208573366 |
| Street Address |
5709 W SUNSET HWY STE 101 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224-9446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477496 | Taylor Yeager | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-11-06 |
| 1871109264 | Megan Martell | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-09-21 |
| 1982215802 | Braden Scott Marjerison | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-08-13 |
| 1831700301 | Sabrina Carez | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-08-10 |
| 1265040596 | Katlyn Janelle Maat | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-07-22 |
| 1013547330 | Micah Litterell | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2020-01-26 |
| 1932747185 | Jaden Elizabeth Friedle | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2019-12-18 |
| 1821635525 | Christina Jeffries | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2019-12-02 |
| 1881236354 | Nichole Brogdon | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2019-10-16 |
| 1417508706 | David Benjamin Griffith | Behavior Technician | 5709 W Sunset Hwy Ste 101, Spokane, WA 99224-9446 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| 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 |
|---|---|---|---|---|
| 1588208532 | Family Community Services, Inc. | Community/Behavioral Health | 422 W Riverside Ave Ste 330, Spokane, WA 99201-0307 | 2019-11-03 |
| 1790341659 | Compassionate Addiction Treatment | Community/Behavioral Health | 215 W 2nd Ave, Spokane, WA 99201-3605 | 2019-05-16 |
| 1700396314 | Seneca Family of Agencies | Community/Behavioral Health | 811 E Sprague Ave Ste B2, Spokane, WA 99202-2105 | 2017-10-09 |
| 1760921399 | Jeff Bafus Counseling & Consultation | Community/Behavioral Health | 3214 W Grandview Ave, Spokane, WA 99224-5524 | 2017-02-15 |
| 1942673934 | Darci Sheridan Counseling Pllc | Community/Behavioral Health | 618 E Liberty Ave, Spokane, WA 99207-2856 | 2015-11-12 |
| 1790153682 | Pioneer Human Services | Community/Behavioral Health | 910 W Boone Ave Ste 201, Spokane, WA 99201-5029 | 2015-09-09 |
| 1770975005 | Properties of Healing | Community/Behavioral Health | 6119 S Magnolia St, Spokane, WA 99223-8364 | 2015-02-24 |
| 1528450152 | New Developed Nations, LLC | Community/Behavioral Health | 631 S Richard Allen Ct, Spokane, WA 99202-2345 | 2015-02-18 |
| 1811386972 | Brecht & Woods Inc | Community/Behavioral Health | 405 E Hartson Ave Ste 4, Spokane, WA 99202-1329 | 2015-01-13 |
| 1689062366 | Lilac Counseling Services, LLC | Community/Behavioral Health | 3508 E 31st Ave, Spokane, WA 99223-3707 | 2015-01-02 |
| Find all providers in SPOKANE | ||||
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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.