CENTER FOR HUMAN SERVICES (NPI# 1669675609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669675609 |
| Entity Type | Organization |
| Organization Name | CENTER FOR HUMAN SERVICES |
| Other Organization Name | CHS SHORELINE 148TH |
| Practice Address |
14803 15th Ave Ne Shoreline WA 98155-7110 |
| Mailing Address |
17018 15th Ave Ne Shoreline WA 98155-5126 |
| Practice Telephone | 2063627282 |
| Practice Fax Number | 2063627152 |
| Mailing Telephone | 2063627282 |
| Mailing Fax Number | 2063627152 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | BERATTA GOMILLION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2063627282 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
154 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHS Shoreline 148th | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598103624 | Center for Human Services | Case Management | 18414 103rd Ave Ne, Bothell, WA 98011-3410 | 2013-06-11 |
| 1306121074 | Center for Human Services | Community/Behavioral Health | 1300 Patchett Dr, Newman, CA 95360-1434 | 2011-10-13 |
| 1336442722 | Center for Human Services | Community/Behavioral Health | 631 W F St, Oakdale, CA 95361-3734 | 2010-12-07 |
| 1104079300 | Center for Human Services | Community/Behavioral Health | 1317 Grandview Ave, Ceres, CA 95307-4405 | 2008-10-31 |
| 1194858076 | Center for Human Services | Community/Behavioral Health | 700 F St, Patterson, CA 95363-2669 | 2007-03-13 |
| 1437288222 | Center for Human Services | Community/Behavioral Health | 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | 2007-03-05 |
| 1023197795 | Center for Human Services | Counselor | 23200 100th Ave W, Edmonds, WA 98020-5020 | 2006-11-03 |
| 1730266917 | Center for Human Services | Counselor | 22105 23rd Dr Se, Bothell, WA 98021-4409 | 2006-11-01 |
| 1053498220 | Center for Human Services | Counselor | 17018 15th Ave Ne, Shoreline, WA 98155-5126 | 2006-11-01 |
| 1063963015 | Center for Human Services | Community/Behavioral Health | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTER FOR HUMAN SERVICES CORPORATION | 5404 Wisconsin Ave Ste 800, Chevy Chase, MD 20815-3594 |
| Street Address |
14803 15TH AVE NE |
| City | SHORELINE |
| State | WA |
| Zip Code | 98155-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648031 | Absa Samba | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-10-30 |
| 1568076156 | Lynn Marie Milligan | Marriage & Family Therapist | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-09-02 |
| 1811501471 | Lauren Creed | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155 | 2020-09-01 |
| 1831703495 | Susanna Jorgenson | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-09-01 |
| 1518578657 | Sabrina Commons | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-08-12 |
| 1932718269 | Angelica Rose Christensen | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-07-22 |
| 1952929259 | Jonathan Coopersmith | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-07-13 |
| 1598382889 | Larisa Wade | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2020-07-02 |
| 1396386488 | Shaya Schaedler | Counselor | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2019-10-01 |
| 1043869217 | Jennifer Molina Miller | Peer Specialist | 14803 15th Ave Ne, Shoreline, WA 98155-7110 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| 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 |
|---|---|---|---|---|
| 1295145753 | Arlenrose Frazier, Ma, Lmhc | Clinic/Center | 15879 15th Ave Ne, Shoreline, WA 98155-6335 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1447866496 | Rogers Behavioral Health - Washington Inc | Clinic/Center | 1215 114th Ave Se, Bellevue, WA 98004-6929 | 2020-09-16 |
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| 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.