INNER PEACE COUNSELING, INC (NPI# 1689726499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689726499 |
Entity Type | Organization |
Organization Name | INNER PEACE COUNSELING, INC |
Practice Address |
118 N Market Blvd Suite 1 Chehalis WA 98532-2666 |
Practice Telephone | 3607487268 |
Practice Fax Number | 3607409787 |
Mailing Telephone | 3607487268 |
Mailing Fax Number | 3607409787 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | YVONNE L HEIM (OWNER, ADMINISTRATOR, PROVIDER) |
Authorized Official Telephone | 3607487268 |
Authorized Official Credential | M.S., C.D.P. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21054900 | WA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | CHEMICAL DEPENDENCY PROFE | CP00005966 | 01 |
Street Address |
118 N MARKET BLVD SUITE 1 |
City | CHEHALIS |
State | WA |
Zip Code | 98532-2666 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639484397 | Patti Ann Larson | Registered Nurse | 118 N Market Blvd, Chehalis, WA 98532-2666 | 2010-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
Find all providers in zip 98532 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174095392 | Jennifer Lynn Canaan | Counselor | 505 Se Adams Ave, Chehalis, WA 98532-3031 | 2018-12-28 |
1457848970 | Sarah Louise Wolbert | Counselor | 151 Ne Hampe Way Ste C2-1, Chehalis, WA 98532-2403 | 2018-04-19 |
1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
1174137152 | Derik L Sandoval | Counselor | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-09-07 |
1477161552 | Jason Immanuel Brandis | Counselor | 1956 Ne Kresky Ave, Chehalis, WA 98532-2307 | 2020-07-15 |
1871113498 | Catrena D Taylor | Counselor | 151 N Market Blvd, Chehalis, WA 98532-2677 | 2020-04-23 |
1912534470 | Holly Ann Neill | Counselor | 1956 Ne Kresky Ave, Chehalis, WA 98532-2307 | 2020-03-25 |
1942840160 | Community Integrated Health Services, LLC | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2020-01-15 |
1992345367 | Eva Delamater | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532-2010 | 2020-01-13 |
Find all providers in CHEHALIS |
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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.