CAPSTONE BEHAVIORAL HEALTH (NPI# 1730201856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730201856 |
| Entity Type | Organization |
| Organization Name | CAPSTONE BEHAVIORAL HEALTH |
| Practice Address |
49 Park Street Davenport WA 99122 |
| Mailing Address |
Po Box 421 Davenport WA 99122-0421 |
| Practice Telephone | 5097254900 |
| Practice Fax Number | 5097254901 |
| Mailing Telephone | 5097254900 |
| Mailing Fax Number | 5097254901 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEBRA LYNNE GUHLKE (OWNERMANAGER) |
| Authorized Official Telephone | 5097254900 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH0008172 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003379231 | Capstone Behavioral Health | Community/Behavioral Health | 102 Centre Blvd Ste E, Marlton, NJ 08053-4129 | 2019-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CAPSTONE BEHAVIORAL HEALTH P.L.L.C. | 505 Crest Ave, Coulee Dam, WA 99116 |
| Iowa Business Entities | CAPSTONE BEHAVIORAL HEALTHCARE, INC. | 1123 1st Ave. E 200, Newton, IA 50208 |
| Street Address |
49 PARK STREET |
| City | DAVENPORT |
| State | WA |
| Zip Code | 99122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040979 | Cassandra Ann Clark | Counselor | 49 Park Street, Davenport, WA 99122-0421 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387697 | Creekside Pharmacy LLC | Pharmacy | 639 Morgan Street, Davenport, WA 99122 | 2018-12-08 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| 1538567839 | Alyssa Fleming | Speech-Language Pathologist | 28000 Prairie Springs Drive, Davenport, WA 99122 | 2014-12-18 |
| 1477742500 | Daniel W Pitman | Counselor | 1102 8th Street, Davenport, WA 99122 | 2007-10-15 |
| 1972625762 | David Lee Turner | Dentist | 707 Logan St, Davenport, WA 99122 | 2007-04-04 |
| 1982723318 | Dawn Lorraine Wilcox | Counselor | 49 Park, Unit C, Davenport, WA 99122 | 2007-03-28 |
| 1184789703 | Michael G Van Pevenage | Physical Therapist | 506 Morgan Street, Davenport, WA 99122 | 2006-12-26 |
| 1447323811 | Davenport Vision Clinic, Inc. | Optometrist | 506 8th St, Davenport, WA 99122 | 2006-11-15 |
| 1912002791 | Davenport Pharmacy Inc | Pharmacy | 525 Morgan St, Davenport, WA 99122 | 2006-09-14 |
| 1912927518 | Stacie R. Nichols | Optometrist | 506 8th St., Davenport, WA 99122 | 2006-07-19 |
| Find all providers in zip 99122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177242 | Immanuel Iman Simmons | Counselor | 2195 E 53rd St, Davenport, IA 52807-2705 | 2020-09-01 |
| 1447864269 | Angela Snyder Therapy, Plc | Counselor | 1027 N Marquette St, Davenport, IA 52804-3761 | 2020-08-31 |
| 1255944526 | Laura K Heffernan | Counselor | 372 Arbor Lakes Dr, Davenport, FL 33896-8170 | 2020-08-26 |
| 1073130217 | Maritza Paula | Counselor | 164 Oxford Rd, Davenport, FL 33896-8891 | 2020-07-04 |
| 1952925992 | Jan Dumond LLC | Counselor | 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 | 2020-06-05 |
| 1144875220 | Wags for Wellness LLC | Counselor | 601 Brady St Ste 206, Davenport, IA 52803-5251 | 2019-08-06 |
| 1306300223 | Wellness First Counseling | Counselor | 1706 Brady St Ste 200, Davenport, IA 52803-4708 | 2019-01-24 |
| 1366939142 | Quill Counseling Plc | Counselor | 1820 E 54th St Ste A, Davenport, IA 52807-2797 | 2018-04-17 |
| 1932609070 | Samantha J Swanson | Counselor | 7307 Pacific St, Davenport, IA 52806-1250 | 2018-02-15 |
| 1578071213 | Jennifer Mejia | Counselor | 8020 Tuscany Way, Davenport, FL 33896-5444 | 2018-01-16 |
| Find all providers in DAVENPORT | ||||
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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.