TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC (NPI# 1699162925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699162925 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC |
| Other Organization Name | TELECARE TRANSITION CASE MANAGEMENT TEAM |
| Practice Address |
1601 E 4th Plain Blvd Vancouver WA 98661-3753 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 3603978474 |
| Practice Fax Number | 3603978481 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |
| Authorized Official Name | MARSHALL LANGFELD (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TELECARE TRANSITION CASE MANAGEMENT TEAM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1134737737 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 307 W Cota St, Shelton, WA 98584-2265 | 2020-07-20 |
| 1275178360 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 307 W Cota St, Shelton, WA 98584-2265 | 2019-11-12 |
| 1851859144 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 322 S Birch St, Mccleary, WA 98557-9522 | 2019-03-06 |
| 1932615630 | Telecare Mental Health Services of Washington, Inc | Clinic/Center | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2017-12-18 |
| 1043741333 | Telecare Mental Health Services of Washington, Inc | Community/Behavioral Health | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2017-03-27 |
| 1841504768 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 1601 E Fourth Plain Blvd, Building 17, Vancouver, WA 98661-3753 | 2010-08-03 |
| 1780913657 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2009-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. | 1080 Marina Village Pkwy, Ste 100, Alameda, CA 94501 |
| Street Address |
1601 E 4TH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922083 | Margaret A Vajdos | Internal Medicine | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2005-09-16 |
| 1316546179 | Patricia Anne O'brien | Psychologist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-22 |
| 1508464546 | Julia Houle-mccabe | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-12 |
| 1346850831 | Llonnelyn Josue | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-09 |
| 1417566399 | Edwina Laverne Lyon | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-28 |
| 1770192916 | Leanne D Nething | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-23 |
| 1629686092 | Courtney Leigh Geier | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-21 |
| 1033736285 | Trevor C Miller | Recreation Therapist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1265059430 | Zaharah Adam | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1942827704 | Kelly Renee Braswell | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-28 |
| 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 |
| Find all providers in VANCOUVER | ||||
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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.