TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC (NPI# 1932615630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932615630 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC |
| Other Organization Name | TELECARE COMMUNITY ALTERNATIVES TEAM |
| Practice Address |
3901 S Fife St Ste 301 Tacoma WA 98409-7309 |
| Mailing Address |
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 |
| Practice Telephone | 2535895334 |
| Practice Fax Number | 2535841508 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Telecare Community Alternatives Team | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1134737737 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 307 W Cota St, Shelton, WA 98584-2265 | 2020-07-20 |
| 1275178360 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 307 W Cota St, Shelton, WA 98584-2265 | 2019-11-12 |
| 1851859144 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 322 S Birch St, Mccleary, WA 98557-9522 | 2019-03-06 |
| 1043741333 | Telecare Mental Health Services of Washington, Inc | Community/Behavioral Health | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2017-03-27 |
| 1699162925 | Telecare Mental Health Services of Washington, Inc | Clinic/Center | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2015-04-24 |
| 1841504768 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 1601 E Fourth Plain Blvd, Building 17, Vancouver, WA 98661-3753 | 2010-08-03 |
| 1780913657 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2009-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. | 1080 Marina Village Pkwy, Ste 100, Alameda, CA 94501 |
| Street Address |
3901 S FIFE ST STE 301 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083937379 | Toby Paul Estler | Marriage & Family Therapist | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2010-03-01 |
| 1053910695 | Holly L Zettel | Social Worker | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2020-10-24 |
| 1164030425 | Megan Anthony | Case Manager/Care Coordinator | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2020-07-22 |
| 1700412566 | Sara Truax | Social Worker | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2020-03-12 |
| 1730729500 | Jason S Siverson | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2020-01-09 |
| 1841834116 | Jonathan Matthew Duerden | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2019-10-30 |
| 1336790047 | Shaylyn Renee' Jones | Social Worker | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2019-09-24 |
| 1063971919 | Julie Thies | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2019-03-19 |
| 1265905558 | Desiree Jahner | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2019-01-09 |
| 1699247791 | Lynn Adele Lomax | Counselor | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2018-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271223 | Christy Webster Legler, Pmhnp-bc, Pllc | Clinic/Center | 608 S G St, Tacoma, WA 98405-4625 | 2020-10-07 |
| 1356984355 | Sea - Mar Community Health Center | Clinic/Center | 1112 6th Ave Ste 301, Tacoma, WA 98405-4048 | 2019-10-22 |
| 1588166284 | Kristi Conner Licsw LLC | Clinic/Center | 2209 N 30th St Ste 1, Tacoma, WA 98403-3352 | 2018-03-08 |
| 1033511951 | Metropolitan Development Council | Clinic/Center | 945 Fawcett Ave, Tacoma, WA 98402-5612 | 2014-09-23 |
| 1699804435 | Catholic Community Services of Western Washington | Clinic/Center | 702 S 14th St, Tacoma, WA 98405-4407 | 2007-03-05 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| 1487199469 | Sea Mar Community Health Centers | Clinic/Center | 3712 S Cedar St, Tacoma, WA 98409-5715 | 2016-12-29 |
| 1821453424 | Jennifer M Coates, Pllc | Clinic/Center | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2015-12-23 |
| 1720470032 | Pearl Counseling Associatation | Clinic/Center | 1919 N Pearl St Ste C1, Tacoma, WA 98406-2490 | 2015-02-23 |
| Find all providers in TACOMA | ||||
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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.