BEHAVIORAL HEALTH RESOURCES (NPI# 1831594068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831594068 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH RESOURCES |
| Practice Address |
3859 Martin Way E Olympia WA 98506-5268 |
| Practice Telephone | 3607047170 |
| Practice Fax Number | 3604383063 |
| Mailing Telephone | 3607047170 |
| Mailing Fax Number | 3604383063 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | ERIC JENSEN (CONTROLLER) |
| Authorized Official Telephone | 3602367170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LH00003670 | WA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952532996 | Behavioral Health Resources | Community Based Residential Treatment Facility, Mental Illness | 1275 S 2nd Ave Sw, Tumwater, WA 98512-6976 | 2009-08-06 |
| 1306918750 | Behavioral Health Resources | Community/Behavioral Health | 525 E Main Street, Elma, WA 98541 | 2006-11-14 |
| 1194896654 | Behavioral Health Resources | Community/Behavioral Health | 110 W K St, Shelton, WA 98584-2939 | 2006-11-13 |
| 1396820106 | Behavioral Health Resources | Community/Behavioral Health | 6128 Capitol Blvd Se, Tumwater, WA 98501-5271 | 2006-10-27 |
| 1346870920 | Behavioral Health Resources | Substance Abuse Rehabilitation Facility | 3775 Martin Way E Ste A, Olympia, WA 98506-5007 | 2020-01-22 |
| 1083869481 | Behavioral Health Resources | Community/Behavioral Health | 3857 Martin Way E, Olympia, WA 98506-5268 | 2008-11-26 |
| 1992989297 | Behavioral Health Resources | Community/Behavioral Health | 205 8th St, Hoquiam, WA 98550-5268 | 2007-12-21 |
| 1740478429 | Behavioral Health Resources | Community/Behavioral Health | 945 19th St, Des Moines, IA 50314-1117 | 2007-10-09 |
| 1023183597 | Behavioral Health Resources | Community/Behavioral Health | 3857 Martin Way E, Olympia, WA 98506-5268 | 2006-11-21 |
| 1942374939 | Behavioral Health Resources | Community/Behavioral Health | 3857 Martin Way E, Olympia, WA 98506-5268 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BEHAVIORAL HEALTH RESOURCES | 3857 Martin Way E, Olympia, WA 98506-5268 |
| Washington State Corporations | BEHAVIORAL HEALTH RESOURCES FOUNDATION | 3857 Martin Way E, Olympia, WA 98506 |
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH RESOURCES, LLC | 7441 O Street, Ste 107, Lincoln, NE 68510-2468 |
| Colorado Business Entities | Behavioral Health Resources, LLC | Po Box 2859, Littleton, CO 80161 |
| Indiana Business Entities | BEHAVIORAL HEALTH RESOURCES, P.C. | 2810 West Ethel Avenue, Suite 6, Muncie, IN 47304 |
| Street Address |
3859 MARTIN WAY E |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114441151 | Jennifer Tracy Kenworthy | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-08-01 |
| 1619407251 | Resa Lynn Hoiland | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-15 |
| 1578093167 | Danyell Lynn Nikodim | Counselor | 3859 Martin Way E, Suite 102, Olympia, WA 98506 | 2017-06-15 |
| 1013446558 | Michael Jack Shoemaker | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-08 |
| 1851820302 | Gregory Charles Endler | Marriage & Family Therapist | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-08 |
| 1326577032 | Courtney Reynolds | Counselor | 3859 Martin Way E, Olympia, WA 98506-5268 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1972992139 | Life Therapeutic Works LLC | Community/Behavioral Health | 3801 S Bay Loop Ne, Olympia, WA 98506-2648 | 2015-01-12 |
| 1124392618 | First Things First 123, LLC | Community/Behavioral Health | 1905 4th Ave. East, Suite B, Olympia, WA 98506 | 2012-02-29 |
| 1568785293 | Catholic Community Services Ww | Community/Behavioral Health | 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502-7208 | 2010-03-09 |
| 1255571063 | Capital Clubhouse | Community/Behavioral Health | 1000 Cherry St Se, Olympia, WA 98501-1433 | 2009-03-06 |
| 1912561838 | Recovery Innovations, Inc | Community/Behavioral Health | 3432 S Bay Rd Ne, Olympia, WA 98506-2958 | 2019-04-25 |
| 1720589583 | Morningside | Community/Behavioral Health | 809 Legion Way Se, Olympia, WA 98501-1518 | 2018-02-26 |
| 1780195214 | Catholic Community Services | Community/Behavioral Health | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2017-10-24 |
| 1275073926 | Adaptive Living, LLC | Community/Behavioral Health | 805 Carlyon Ave Se, Olympia, WA 98501-3501 | 2017-02-28 |
| 1053865873 | Compassionate Pathways Psychology Services, LLC | Community/Behavioral Health | 1021 Legion Way Se, Olympia, WA 98501-1522 | 2016-08-10 |
| Find all providers in OLYMPIA | ||||
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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.