TULALIP TRIBES OF WASHINGTON (NPI# 1063502946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063502946 |
| Entity Type | Organization |
| Organization Name | TULALIP TRIBES OF WASHINGTON |
| Other Organization Name | TULALIP TRIBES FAMILY & YOUTH SERVICES |
| Practice Address |
2821 Mission Hill Rd Tulalip WA 98271 |
| Mailing Address |
6406 Marine Dr Ste A Tulalip WA 98271 |
| Practice Telephone | 3607164400 |
| Practice Fax Number | 3607165789 |
| Mailing Telephone | 3607164400 |
| Mailing Fax Number | 3607165789 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | NORMA RAZOTE (MANAGING DIRECTOR OF HEALTH SERVICE) |
| Authorized Official Telephone | 3607164142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
31-0240-00 | WA | Behavioral Health & Social Service Providers |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1001570 | 05 | |
| WA | 1993476 | 05 | |
| WA | 1980952 | 05 | |
| WA | 198754 | 05 |
| Other Name | Type Code |
|---|---|
| Tulalip Tribes Family & Youth Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831325687 | Tulalip Tribes of Washington | Community/Behavioral Health | 4033 76th Place Nw, Tulalip, WA 98271 | 2009-06-08 |
| 1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
| 1447530399 | Tulalip Tribes of Washington | Dentist | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2011-08-24 |
| 1013138924 | Tulalip Tribes of Washington | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2007-05-01 |
| Street Address |
2821 MISSION HILL RD |
| City | TULALIP |
| State | WA |
| Zip Code | 98271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091448 | Kay M Feather | Art Therapist | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2006-10-02 |
| 1679105001 | Diane G Henry | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2020-02-04 |
| 1538603949 | Darlene Frances Peters | Marriage & Family Therapist | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2016-12-05 |
| 1659751022 | Natasha Rose Fryberg | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2015-06-01 |
| 1609288273 | Arla Jean Diltz | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2014-05-29 |
| 1396157400 | Steven Robert Ironwing II | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2014-05-22 |
| 1487083564 | Jeremy Franklin | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2013-11-08 |
| 1184053969 | Sara Stevee Giba | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2013-11-02 |
| 1568801660 | Robin Louise Johnson | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2013-06-21 |
| 1992096697 | Tulalip Tribes | Community/Behavioral Health | 2821 Mission Hill Rd, Tulalip, WA 98271-9706 | 2011-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
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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.