CHRYSTAL LYNN BECKLEY (NPI# 1184141152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184141152 |
| Entity Type | Individual |
| Full Name | CHRYSTAL LYNN BECKLEY |
| Practice Address |
2700 Simpson Avenue Suite 101 Aberdeen WA 98520 |
| Mailing Address |
Po Box 1847 Longview WA 98632-8140 |
| Practice Telephone | 3606120012 |
| Mailing Telephone | 3604230203 |
| Mailing Fax Number | 3605770269 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60553693 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2105699 | 05 |
| Street Address |
2700 SIMPSON AVENUE SUITE 101 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| 1982038501 | Tess Lawson | Behavioral Analyst | 418 E 1st St, Aberdeen, WA 98520 | 2013-08-30 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945319 | Roneisha Juleis Price | Counselor | 1357 Tralee Cir, Aberdeen, MD 21001-2643 | 2020-06-03 |
| 1669961207 | Jubilee Womack | Counselor | 1700 Cherry St, Aberdeen, WA 98520-3721 | 2018-05-09 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1023521127 | Action Counseling | Counselor | 914 E Wishkah St, Aberdeen, WA 98520-2917 | 2017-11-10 |
| 1831613678 | Stephanie Lee Becker | Counselor | 516 E 1st St, Aberdeen, WA 98520-4106 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1104286160 | Chris Desilvestri | Counselor | 506 Laurie Ln, Aberdeen, NJ 07747-1501 | 2016-03-02 |
| 1063771558 | Robert Matthew Zendle | Counselor | 604 Westgate Rd, Aberdeen, MD 21001-1625 | 2012-05-03 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| 1275840225 | Gary L Kolb | Counselor | 1918 Simpson Ave, Aberdeen, WA 98520-3603 | 2010-09-10 |
| Find all providers in ABERDEEN | ||||
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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.