COLUMBIA RIVER MENTAL HEALTH SERVICES (NPI# 1669411377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669411377 |
| Entity Type | Organization |
| Organization Name | COLUMBIA RIVER MENTAL HEALTH SERVICES |
| Other Organization Name | COLUMBIA RIVER ASSOCIATES |
| Practice Address |
6926 Ne Fourth Plain Blvd Vancouver WA 98661 |
| Mailing Address |
Po Box 1337 Vancouver WA 98666-1337 |
| Practice Telephone | 3609933000 |
| Practice Fax Number | 3609933047 |
| Mailing Telephone | 3609933000 |
| Mailing Fax Number | 3609933047 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | CRAIG PRIDEMORE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3609933000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 138 | WA | Agencies |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
06 0894 00 | WA | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
06 0894 00 | WA | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
067 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9630716 | 05 | |
| WA | 1992775 | 05 | |
| WA | 7035975 | 05 | |
| WA | 7117195 | 05 | |
| WA | 1980705 | 05 | |
| WA | 9234600 | 05 | |
| WA | REGENCE BCBS | 06288 | 01 |
| Other Name | Type Code |
|---|---|
| Columbia River Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558709 | Columbia River Mental Health Services | Case Management | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2016-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COLUMBIA RIVER MENTAL HEALTH SERVICES | 6926 Ne 4th Plain Blvd, Vancouver, WA 98661 |
| Street Address |
6926 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552455 | Hi School Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6926 Ne Fourth Plain Blvd, Suite B, Vancouver, WA 98661-7254 | 2006-03-21 |
| 1316548621 | John Lee Wilson | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1952902264 | Kahla Nicole Stewart | Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-11-03 |
| 1255939807 | Melissa Annmarie Mercer | Registered Nurse | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-15 |
| 1295332328 | Cheryl A Brown-hendrix | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-10-01 |
| 1285249854 | Leah Martine | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-10 |
| 1659985224 | Lauryn E Sanders | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-09-01 |
| 1972116465 | Mikaela Elaine Hines | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1104439686 | Geoffrey Severin Wampach | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-25 |
| 1265044572 | Roseanna Ruiz | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987752 | Sea - Mar Community Health Center | Clinic/Center | 14300 Ne 18th St Rm 213, Vancouver, WA 98684-7807 | 2020-03-18 |
| 1295372670 | Playworks Counseling, LLC | Clinic/Center | 4420 Ne St Johns Rd Ste D, Vancouver, WA 98661-2561 | 2019-12-04 |
| 1386293850 | Ed Behavioral Health Solutions LLC | Clinic/Center | 4000 Ne 109th Ave Unit 86, Vancouver, WA 98682-5720 | 2019-09-08 |
| 1356901094 | Nicole Hagerty Counseling LLC | Clinic/Center | 2727 E Evergreen Blvd Ste B, Vancouver, WA 98661-4900 | 2019-06-15 |
| 1700344298 | Wild Heart Society Pllc | Clinic/Center | 15604 Ne 28th Ave, Vancouver, WA 98686-1541 | 2019-03-04 |
| 1932473238 | Associates for Psychiatric & Mental Health, LLC | Clinic/Center | 2600 F Street, Vancouver, WA 98663 | 2012-03-04 |
| 1013051606 | Wchs, Inc. | Clinic/Center | 2009 Ne 117th Street, Ste. 101, Vancouver, WA 98686-4022 | 2007-02-16 |
| 1700407582 | Cullins Psychological and Counseling Services | Clinic/Center | 9120 Ne Vancouver Mall Loop Ste 261, Vancouver, WA 98662-6391 | 2020-05-02 |
| 1891325551 | Four Elements Behavioral Health Corp | Clinic/Center | 1104 Main St Ste M110, Vancouver, WA 98660-2980 | 2020-01-22 |
| 1669038543 | Sea - Mar Community Health Center | Clinic/Center | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-05-15 |
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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.