WILLAPA COUNSELING CENTER


Address: 1107 Pacific Avenue North, Long Beach, WA 98631
Phone: 3606423787

WILLAPA COUNSELING CENTER (NPI# 1710188263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710188263
Entity Type Organization
Organization Name WILLAPA COUNSELING CENTER
Other Organization Name WILLAPA BEHAVIORAL HEALTH
Practice Address 1107 Pacific Avenue North
Long Beach
WA 98631
Mailing Address 2204 Pacific Ave N
Long Beach
WA 98631-3300
Practice Telephone 3606423787
Practice Fax Number 3606422096
Mailing Telephone 3606423787
Mailing Fax Number 3606422096
Enumeration Date 2007-05-31
Last Update Date 2020-06-25
Authorized Official Name ADAM MARQUIS (CEO)
Authorized Official Telephone 3606423787
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
600618510 WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 1995547 05

Other Provider/Organization Names

Other Name Type Code
WILLAPA BEHAVIORAL HEALTH Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174570949 Willapa Counseling Center Clinic/Center 2204 Pacific Ave N, Long Beach, WA 98631-3300 2006-05-27
1760008783 Willapa Counseling Center General Practice 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-06-25

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations WILLAPA COUNSELING CENTER 2204 Pacific Ave N, Long Beach, WA 98631-3300

Office Location

Street Address 1107 PACIFIC AVENUE NORTH
City LONG BEACH
State WA
Zip Code 98631

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063048197 Peninsula Pharmacies Inc Long Beach Pharmacy Annex Pharmacy 110 Oregon Ave S, Long Beach, WA 98631 2020-03-20
1033755244 Willapa Behavioral Health Peer Specialist 2204 Pacific Ave. N., Long Beach, WA 98631 2019-11-22
1427576362 Susan Amy Goldsmith Social Worker 607 Ocean Beach Blvd. N., Long Beach, WA 98631 2017-08-30
1558724302 Jesse Wityczak Pharmacist 101 Bolstad Ave E, Long Beach, WA 98631 2016-03-30
1659618007 Teresa Mary Fleck Speech-Language Pathologist 400 S Washington, Long Beach, WA 98631 2013-01-04
1639400385 Wendy Liu Counselor 2204 Pacififc Avenue N, Long Beach, WA 98631 2010-01-20
1093046088 Diane L Adams Counselor 2204 Pacific Avenue N, Long Beach, WA 98631 2010-01-15
1538498076 Steven R Fox Counselor 22004 Pacific Way N, Long Beach, WA 98631 2009-12-11
1295907137 Brandon L Adams Md Ps General Practice 105 6th St, Long Beach, WA 98631 2008-04-01
1720204779 Darren L Thorsen, Od Optometrist 1703 South Pacific Ave, Long Beach, WA 98631 2007-04-18
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1447494380 Serene Center, Inc. Clinic/Center 1215 E 4th St, Ste 102, Long Beach, CA 90802-7518 2009-04-22
1881855435 Choices of Long Beach, Inc. Clinic/Center 2139 E 7th St, Long Beach, CA 90804-4503 2008-06-17
1962621664 Safe Refuge Clinic/Center 3125 East 7th Street, Long Beach, CA 90804-4932 2007-04-24
1265677975 Circle of Help Foundation Clinic/Center 555 E Pacific Coast Hwy, Suite 105, Long Beach, CA 90806-5576 2008-12-09

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1275145682 Sea Mar Community Health Centers Clinic/Center 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 2020-08-18
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1326672692 Excelsior Integrated Care Center LLC Clinic/Center 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 2020-02-26
1659919561 Baart Behavioral Health Services, Inc. Clinic/Center 716 S Chase St, Port Angeles, WA 98362-6122 2019-12-11
1346888260 Baart Behavioral Health Services, Inc. Clinic/Center 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 2019-12-11
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1780174441 American Behavioral Health Systems, Inc. Clinic/Center 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 2018-05-17
1598255267 American Behavioral Healt Systems, Inc. Clinic/Center 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 2018-05-17
1437648136 American Behavioral Health Systems, Inc. Clinic/Center 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 2018-05-08
1487143350 Steve Parker Clinic/Center 1206 State Ave Ste H, Marysville, WA 98270-3645 2018-05-07
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Competitor

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City LONG BEACH
Zip Code 98631

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Dataset Information

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.

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