MR. MICHAEL VERNON BLANKINSHIP (NPI# 1790217628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790217628 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL VERNON BLANKINSHIP |
| Credential | B.A., A.A.C |
| Practice Address |
28 Sw Chehalis Ave Chehalis WA 98532-1933 |
| Mailing Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
| Practice Telephone | 3607362619 |
| Practice Fax Number | 3607402770 |
| Mailing Telephone | 3603309044 |
| Mailing Fax Number | 3607363139 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG 60505175 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780826867 | Michael Blankinship | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2009-04-03 |
| Street Address |
28 SW CHEHALIS AVE |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605678 | Rainey Celene Banick Wood | Nurse Practitioner | 28 Sw Chehalis Ave, Chehalis, WA 98532-1933 | 2020-06-26 |
| 1720642978 | Virginia Rae Andrew | Counselor | 28 Sw Chehalis Ave, Chehalis, WA 98532-1933 | 2019-04-23 |
| 1124682380 | David Scott Pazoff | Counselor | 28 Sw Chehalis Ave, Chehalis, WA 98532-1933 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021459 | Andres Perez | Counselor | 151 N Market Blvd Ste D, Chehalis, WA 98532-2677 | 2018-11-07 |
| 1205360096 | Shelbie May Robinson | Counselor | 653 Ne Franklin Ave, Chehalis, WA 98532-2123 | 2017-04-18 |
| 1134502933 | Michael Dean Rose | Counselor | 124 Bear View Dr, Chehalis, WA 98532-9545 | 2015-06-30 |
| 1396144788 | Erin Fieldstad | Counselor | 272 Frogner Rd, Chehalis, WA 98532-9142 | 2014-08-21 |
| 1841540051 | Brigitte R. Macdonald | Counselor | 180 Sw Alfred St, Chehalis, WA 98532-4804 | 2012-09-14 |
| 1902071913 | Julie Elizabeth Johnson | Counselor | 976 Se Evergreen Dr, Chehalis, WA 98532-3110 | 2008-04-30 |
| 1740471911 | Tera Lee Stickley | Counselor | 2428 West Reynolds Ave, Chehalis, WA 98532 | 2007-08-05 |
| 1932323722 | James L. Hunt | Counselor | 243 Us Highway 12, Chehalis, WA 98532-8404 | 2007-04-12 |
| 1467586461 | Kimberly S Carlson | Counselor | 34 Ne Boistfort St Ste 101, Chehalis, WA 98532-2600 | 2007-03-14 |
| 1659401073 | T.f. E. Moore | Counselor | 135 West Main St., Chehalis, WA 98532-4817 | 2007-03-06 |
| Find all providers in CHEHALIS | ||||
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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.