CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON (NPI# 1699804435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699804435 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON |
| Other Organization Name | NATIVITY HOUSE |
| Practice Address |
702 S 14th St Tacoma WA 98405-4407 |
| Mailing Address |
1323 Yakima Ave Tacoma WA 98405-4457 |
| Practice Telephone | 2535022780 |
| Mailing Telephone | 2535022696 |
| Mailing Fax Number | 2535022757 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | STEPHANIE M. THELEN (COMPLIANCE & POLICY ANALYST) |
| Authorized Official Telephone | 2537613898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | RC00057428 | WA | Agencies |
| Other Name | Type Code |
|---|---|
| Nativity House | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1323 Yakima Ave, Tacoma, WA 984054457 | 2535022696 | 2535022757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1124396932 | Catholic Community Services of Western Washington | Community/Behavioral Health | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2011-12-07 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1245376235 | Catholic Community Services of Western Washington | Foster Care Agency | 1323 S. Yakima Ave, Tacoma, WA 98405 | 2007-01-29 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1841348380 | Catholic Community Services of Western Washington | Clinic/Center | 1229 W Smith St, Kent, WA 98032-4317 | 2007-01-08 |
| 1184786451 | Catholic Community Services of Western Washington | Community/Behavioral Health | 1918 Everett Ave, Everett, WA 98201-3607 | 2006-12-14 |
| 1548332190 | Catholic Community Services of Western Washington | Clinic/Center | 1133 Railroad Ave, Bellingham, WA 98225-5055 | 2006-11-15 |
| 1750849592 | Catholic Community Services of Western Washington | Clinic/Center | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-03-12 |
| 1427580646 | Catholic Community Services of Western Washington | Clinic/Center | 2625 Wheaton Way, Suite B, Bremerton, WA 98310-3371 | 2017-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 1904 Se Division Street, Portland, OR 97202 |
| Washington State Corporations | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON | 100 23rd Ave S, Seattle, WA 98144 |
| Street Address |
702 S 14TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700429933 | Sayde Heminger | Counselor | 702 S 14th St, Tacoma, WA 98405-4407 | 2019-10-21 |
| 1932741535 | Malia Catalina Lopez | Counselor | 702 S 14th St, Tacoma, WA 98405-4407 | 2019-10-15 |
| 1962909846 | Sea-mar Community Health Center | Clinic/Center | 702 S 14th St, Tacoma, WA 98405-4407 | 2018-04-09 |
| 1275055113 | Sarah Stutzke | Case Manager/Care Coordinator | 702 S 14th St, Tacoma, WA 98405-4407 | 2017-07-12 |
| 1760904825 | Bailey Meade | Peer Specialist | 702 S 14th St, Tacoma, WA 98405-4407 | 2017-07-11 |
| 1932620937 | Dawn Bohl | Peer Specialist | 702 S 14th St, Tacoma, WA 98405-4407 | 2017-06-29 |
| 1407383813 | Christopher Joseph Boitano | Counselor | 702 S 14th St, Tacoma, WA 98405-4407 | 2017-05-16 |
| 1285182576 | Tim James Keaty Jr. | Counselor | 702 S 14th St, Tacoma, WA 98405-4407 | 2016-09-14 |
| 1275081887 | Stefanie Backer | Counselor | 702 S 14th St, Tacoma, WA 98405-4407 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1003446857 | Tran Urgent Care & Wellness Centers LLC | Community/Behavioral Health | 710b S 38th St, Tacoma, WA 98418-6718 | 2020-01-21 |
| 1851931042 | Taylor Cassandra Budnick | Community/Behavioral Health | 1305 Tacoma Ave S Ste 302, Tacoma, WA 98402-1903 | 2020-01-15 |
| 1730686445 | Develop Minded Therapies | Community/Behavioral Health | 4040 S Tyler St Ste 9, Tacoma, WA 98409-2143 | 2018-04-09 |
| 1013428432 | Seneca Family of Agencies | Community/Behavioral Health | 409 Puyallup Ave, Tacoma, WA 98421-1316 | 2017-10-12 |
| 1275043663 | Seneca Family of Agencies | Community/Behavioral Health | 2136 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-11 |
| 1629588223 | Seneca Family of Agencies | Community/Behavioral Health | 1301 E 34th St, Tacoma, WA 98404-3906 | 2017-10-09 |
| 1497114342 | Olympic Psychology Services, Pllc | Community/Behavioral Health | 711 Court A Ste 114, Tacoma, WA 98402-5227 | 2016-02-22 |
| 1891150504 | Adonai Counseling & Employment Inc. | Community/Behavioral Health | 4104 South M Street, Tacoma, WA 98418-3836 | 2015-12-22 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1275904245 | Jennifer Croke Psychotherapy | Community/Behavioral Health | 5006 Varco Rd Ne, Tacoma, WA 98422-1806 | 2015-10-15 |
| Find all providers in TACOMA | ||||
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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.