WILLAPA COUNSELING CENTER (NPI# 1174570949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174570949 |
| Entity Type | Organization |
| Organization Name | WILLAPA COUNSELING CENTER |
| Practice Address |
2204 Pacific Ave N Long Beach WA 98631-3300 |
| Practice Telephone | 3606423787 |
| Practice Fax Number | 3606422096 |
| Mailing Telephone | 3606423787 |
| Mailing Fax Number | 3606422096 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | LINDSEY MATZEN (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 3606423783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
J600618510 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1983808 | 05 | |
| WA | 1054667 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| 1760008783 | Willapa Counseling Center | General Practice | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WILLAPA COUNSELING CENTER | 2204 Pacific Ave N, Long Beach, WA 98631-3300 |
| Street Address |
2204 PACIFIC AVE N |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008783 | Willapa Counseling Center | General Practice | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-25 |
| 1114542503 | Sarah Wheat | Social Worker | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-10 |
| 1629691191 | Melodie Nichelle Presler | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-05-19 |
| 1184245565 | Michael Nolan | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-04-27 |
| 1598398067 | Cassaundra Cretian | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-02-12 |
| 1396381083 | Tysha Marie Wirkkala | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-11-18 |
| 1417590324 | Arielle Stewart | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-10-23 |
| 1841841152 | John Williams | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-27 |
| 1184275265 | Marisa Elizabeth Maul | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-20 |
| 1336799436 | Brian Clay Dadiw | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| 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 |
|---|---|---|---|---|
| 1902428089 | Che Ajal Family Counseling Center Inc. | Clinic/Center | 250 W Ocean Blvd Apt 1201, Long Beach, CA 90802-7940 | 2020-05-12 |
| 1902336563 | New Life Community Mental Health Center | Clinic/Center | 741 Atlantic Ave, Long Beach, CA 90813-4510 | 2017-06-15 |
| 1154337426 | Los Angeles County Department of Mental Health | Clinic/Center | 3205 N Lakewood Blvd, Long Beach, CA 90808-1733 | 2006-07-31 |
| 1427062504 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2006-07-27 |
| 1154342814 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2006-07-21 |
| 1346726221 | Children's Institute, Inc. | Clinic/Center | 1500 Hughes Way Ste C100, Long Beach, CA 90810-1808 | 2018-07-13 |
| 1164945069 | Mireille Millet | Clinic/Center | 1950 E 5th St, Long Beach, CA 90802-2023 | 2017-07-23 |
| 1265960512 | Love and Light Couseling Services | Clinic/Center | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807 | 2017-05-31 |
| 1114300365 | Los Angeles County Department of Mental Health | Clinic/Center | 2600 Redondo Ave Fl 6, Long Beach, CA 90806-2325 | 2015-07-07 |
| 1629471529 | Family Mental Health | Clinic/Center | 126 E Park Ave, Long Beach, NY 11561-3510 | 2014-10-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on WILLAPA COUNSELING CENTER.
| 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.