CRYSTAL GARRISON NP, LLC (NPI# 1952719825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952719825 |
| Entity Type | Organization |
| Organization Name | CRYSTAL GARRISON NP, LLC |
| Practice Address |
304 Se Hearthwood Blvd # 871927 Vancouver WA 98684-7551 |
| Practice Telephone | 3609071042 |
| Mailing Telephone | 3609071042 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | CRYSTAL GARRISON (FAMILY PSYCHIATRIC MENTAL HEALTH NP) |
| Authorized Official Telephone | 3609071042 |
| Authorized Official Credential | ARNP, FAMILIY PM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
AP60355508 | WA | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
AP60355508 | WA | Ambulatory Health Care Facilities |
| Street Address |
304 SE HEARTHWOOD BLVD # 871927 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-7551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1558873729 | Tara May, Phd, Pllc | Clinic/Center | 800 Officers Row Ste D, Vancouver, WA 98661-3847 | 2017-10-28 |
| 1851840979 | Megan Dye | Clinic/Center | 210 Nw 153rd St, Vancouver, WA 98685-1796 | 2016-09-30 |
| 1275158354 | Wild Foxgloves Counseling Pllc | Clinic/Center | 4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857 | 2020-06-14 |
| 1508496324 | Pathways Counseling and Wellness Pllc | Clinic/Center | 10000 Ne 7th Ave, Vancouver, WA 98685-4599 | 2020-01-21 |
| 1790326734 | Walk In Hope Counseling Pllc | Clinic/Center | 1308 Ne 134th St Ste G, Vancouver, WA 98685-2725 | 2019-10-01 |
| 1275069635 | Serenity Tms, Pllc | Clinic/Center | 1220 Main St, Ste 431, Vancouver, WA 98660-2953 | 2017-05-04 |
| 1144505439 | Barbara Wilkins Lcsw PC | Clinic/Center | 1409 Franklin St, Suite 202, Vancouver, WA 98660-2899 | 2011-10-18 |
| 1386959922 | Mind & Body Therapies, PC | Clinic/Center | 200 E 22nd St, Ste E, Vancouver, WA 98663-3266 | 2010-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| 1669036174 | Riverway Counseling | Clinic/Center | 82 Washougal River Rd Ste 204, Washougal, WA 98671-2377 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
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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.