UPPER SKAGIT INDIAN TRIBE (NPI# 1821259821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821259821 |
| Entity Type | Organization |
| Organization Name | UPPER SKAGIT INDIAN TRIBE |
| Other Organization Name | UPPER SKAGIT TRIBAL MENTAL HEALTHCLINIC |
| Practice Address |
25959 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Mailing Address |
25944 Community Plaza Way Sedro Woolley WA 98284-9721 |
| Practice Telephone | 3608547070 |
| Mailing Telephone | 3608547070 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. MARILYN M SCOTT (DIRECTOR OF HEALTH & SOCIAL SERVICE) |
| Authorized Official Telephone | 3608547065 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPPER SKAGIT INDIAN TRIBE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00008445 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
LH00008445 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1981323 | 05 | |
| WA | REGENCE BLUE SHIELD | 6960FE | 01 |
| Other Name | Type Code |
|---|---|
| Upper Skagit Tribal Mental HealthClinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129295 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2006-01-18 |
| 1285895284 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPPER SKAGIT INDIAN TRIBE | 25944 Community Plaza, Sedro Woolley, WA 98284-9721 |
| Street Address |
25959 COMMUNITY PLAZA WAY |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129295 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2006-01-18 |
| 1922250877 | Kathleen Ann Hunter | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-10-22 |
| 1285895284 | Upper Skagit Indian Tribe | Counselor | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2008-06-23 |
| 1356532030 | Jerry L Rusher | Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-08-07 |
| 1477698736 | Betty Jean Hansen | Licensed Practical Nurse | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| 1386789634 | Jane Mayer | Clinical Nurse Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
| 1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
| 1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
| 1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
| 1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
| 1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
| 1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
| 1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
| Find all providers with the same taxonomy | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
Please comment or provide details below to improve the information on UPPER SKAGIT INDIAN TRIBE.
| 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.