NAMI SOUTHWEST WASHINGTON (NPI# 1710377940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710377940 |
| Entity Type | Organization |
| Organization Name | NAMI SOUTHWEST WASHINGTON |
| Other Organization Name | NAMI SW WA; NAMI CLARK COUNTY |
| Practice Address |
5411 E Mill Plain Blvd Suite 4 Vancouver WA 98661-7046 |
| Practice Telephone | 3606952823 |
| Practice Fax Number | 3608231088 |
| Mailing Telephone | 3606952823 |
| Mailing Fax Number | 3608231088 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | MS. PEGGY M MCCARTHY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3606952823 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2054003 | 05 |
| Other Name | Type Code |
|---|---|
| NAMI SW WA; NAMI Clark County | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NAMI SOUTHWEST WASHINGTON (NAMI SW WA) | 2500 Main St, Suite 120, Vancouver, WA 98660-2676 |
| Street Address |
5411 E MILL PLAIN BLVD SUITE 4 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770160 | Ingy Aly | Dentist | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2011-03-08 |
| 1083212260 | Nellie Catherine Quist | Counselor | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2020-10-11 |
| 1235744061 | Margarete Clara Ursula Gallas | Counselor | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2020-09-09 |
| 1891332862 | Marissa Hinds | Counselor | 5411 E Mill Plain Blvd, Vancouver, WA 98661 | 2019-12-09 |
| 1710524905 | Adam Hale Kravitz | Counselor | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2019-12-06 |
| 1356806665 | Sea - Mar Community Health Center | Clinic/Center | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2019-01-31 |
| 1053860098 | John Mcdonald | Peer Specialist | 5411 E Mill Plain Blvd, Vancouver, WA 98661-7057 | 2016-10-03 |
| 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 | 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 |
|---|---|---|---|---|
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
| 1316596703 | Ak Ingenuity | Community/Behavioral Health | 111 E 32nd St, Vancouver, WA 98663-2762 | 2019-09-09 |
| 1336527126 | Northwest Treatment Services Inc. | Community/Behavioral Health | 2614 Fort Vancouver Way, Suite D, Vancouver, WA 98661-3971 | 2015-05-12 |
| 1023401635 | Rainier Psychological Services | Community/Behavioral Health | 1701 Broadway St, 270, Vancouver, WA 98663-3436 | 2015-03-07 |
| 1831440130 | Tim Obrien Lpc LLC | Community/Behavioral Health | 1506 Se Cutter Ln, Vancouver, WA 98661-8084 | 2012-09-26 |
| 1013267251 | Moontree Counseling | Community/Behavioral Health | 3305 Main St Ste 23, Vancouver, WA 98663-2234 | 2012-09-14 |
| 1407080187 | Nw Family Psychology | Community/Behavioral Health | 4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857 | 2009-05-08 |
| 1225262942 | Four Directions Counseling Center PC. | Community/Behavioral Health | 201 Ne Park Plaza Dr Ste 215, Vancouver, WA 98684-5871 | 2009-05-08 |
| 1487888491 | Janus of Sw Washington | Community/Behavioral Health | 10201 Ne Fourth Plain Road, Vancouver, WA 98662 | 2009-05-05 |
| 1699916114 | Clark County | Community/Behavioral Health | 1601 Ne 4th Plain Blvd, Bldg. #17 Ste. A-150, Vancouver, WA 98661 | 2009-03-12 |
| 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.