TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. (NPI# 1982135554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982135554 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. |
| Other Organization Name | TELECARE MASON MOBILE OUTREACH & INTENSIVE CASE MANAGEMENT TEAM |
| Practice Address |
601 W Franklin St Suite B Shelton WA 98584-3518 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 3604623016 |
| Practice Fax Number | 3604623017 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-05-10 |
| 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 Mason Mobile Outreach & Intensive Case Management Team | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1730532136 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3285 Ferguson St Sw, Tumwater, WA 98512-6192 | 2016-07-20 |
| 1659758639 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2015-04-29 |
| 1043828643 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-07-20 |
| 1598289324 | Telecare Mental Health Services of Washington, Inc. | Clinic/Center | 908 5th Ave Se, Olympia, WA 98501-1507 | 2017-08-02 |
| 1285963538 | Telecare Mental Health Services of Washington, Inc. | Community/Behavioral Health | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2009-12-16 |
| 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 |
601 W FRANKLIN ST SUITE B |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700406006 | Rachel Jean Parker | Counselor | 601 W Franklin St, Shelton, WA 98584-3518 | 2020-04-16 |
| 1245870500 | Rebecca Myers | Peer Specialist | 601 W Franklin St, Shelton, WA 98584 | 2020-01-14 |
| 1386111904 | Julianne Gale | Counselor | 601 W Franklin St, Shelton, WA 98584-3518 | 2018-11-01 |
| 1144758046 | Stacy Bree Hamlin | Peer Specialist | 601 W Franklin St, Shelton, WA 98584-3518 | 2017-05-23 |
| 1093240566 | Adelle Pouliot | Counselor | 601 W Franklin St, Shelton, WA 98584-3518 | 2017-04-21 |
| 1215469309 | Melissa Good | Counselor | 601 W Franklin St, 201, Shelton, WA 98584-3518 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1023226685 | Squaxin Island Tribe | Clinic/Center | 90 Se Klah Che Min Drive, Shelton, WA 98584 | 2007-05-18 |
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| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1477163160 | Columbia Valley Community Health | Clinic/Center | 504 Orondo Ave Ste A, Wenatchee, WA 98801-2830 | 2020-08-06 |
| 1972113165 | Hanmin Corporation | Clinic/Center | 4060 138th Ave Se, Bellevue, WA 98006-1431 | 2020-08-03 |
| 1801405642 | United Early Learning & Family Center LLC | Clinic/Center | 106 N Elm St, Grandview, WA 98930-1009 | 2020-07-28 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1386262376 | Everwell Counseling Pllc | Clinic/Center | 306 E 18th Ave, Spokane, WA 99203-2217 | 2020-07-07 |
| 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.