GREATER LAKES MENTAL HEALTH (NPI# 1265748388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265748388 |
| Entity Type | Organization |
| Organization Name | GREATER LAKES MENTAL HEALTH |
| Practice Address |
9330 59th Ave Sw Lakewood WA 98499-2858 |
| Practice Telephone | 2536205014 |
| Practice Fax Number | 2536205831 |
| Mailing Telephone | 2536205014 |
| Mailing Fax Number | 2536205831 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | MS. RENEE JOHNSON (STAFF) |
| Authorized Official Telephone | 2536205014 |
| Authorized Official Credential | RESOURCES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | CG 60158344 | WA | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER LAKES MENTAL HEALTHCARE | 9330 59th Ave Sw, Lakewood, WA 98499-2858 |
| Street Address |
9330 59TH AVE SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039811 | Greater Lakes Mental Health Foundation Inc | Community/Behavioral Health | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2005-08-03 |
| 1568063915 | Taibika O Lofton | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1164023552 | Meaghan Nicole Trezza | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1295335362 | Estrella Nicole Alderete | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-28 |
| 1760081004 | Taylor Shae Brenneise | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-19 |
| 1508463324 | Lacey Lynn Gomez | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-05 |
| 1487261186 | Mallory Enola O'brien | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-26 |
| 1912513136 | Ashley Maeve Marrow | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-6600 | 2020-09-22 |
| 1376158527 | Sydney Freutel | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-14 |
| 1063027522 | Tiffany Lynn Myers | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124371497 | Rejuvenate Wellness Day Spa, Ps | Health Maintenance Organization | 7521 Bridgeport Way W Ste B, Lakewood, WA 98499-2423 | 2012-10-23 |
| 1942256920 | Lakewood Ipa | Health Maintenance Organization | 4909 Lakewood Blvd, Ste. 200, Lakewood, CA 90712-2405 | 2006-05-25 |
| 1063896942 | Lakewood Ipa, Inc | Health Maintenance Organization | 4909 Lakewood Blvd Ste 200, Lakewood, CA 90712-2405 | 2015-07-10 |
| 1154733442 | Horizon Counseling & Education Center, Ll | Health Maintenance Organization | 3500 S Wadsworth Blvd Ste 407, Lakewood, CO 80235-2053 | 2014-05-21 |
| 1326460981 | Center for Health Education and Dentistry | Health Maintenance Organization | 1771 Madison Ave, Lakewood, NJ 08701-1251 | 2014-01-15 |
| 1124450366 | Lakewood Medical Center Corporation | Health Maintenance Organization | 1700 Wadsworth Blvd, Lakewood, CO 80214-5256 | 2013-07-30 |
| 1538448964 | Premier Health Plan Services, Inc. | Health Maintenance Organization | 4909 Lakewood Blvd, #200, Lakewood, CA 90712-2405 | 2011-08-16 |
| 1467498865 | St. Mary Ipa | Health Maintenance Organization | 4909 Lakewood Blvd, Ste. 200, Lakewood, CA 90712-2405 | 2006-06-22 |
| 1376583344 | Alamitos Ipa | Health Maintenance Organization | 4909 Lakewood Blvd, Ste. 200, Lakewood, CA 90712-2405 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366994196 | Blue Lotus Lumine Holistic Spa | Health Maintenance Organization | 404 1st St S, Suite H, Yelm, WA 98597-1215 | 2016-10-27 |
| 1720530694 | Savior Care LLC | Health Maintenance Organization | 14327 11th Pl W, Lynnwood, WA 98087-6085 | 2016-10-26 |
| 1780134692 | Kfkp of The Northwest | Health Maintenance Organization | 2611 Se 130th Ave, Vancouver, WA 98683-6583 | 2016-10-04 |
| 1528415502 | Kellys Healing Massage | Health Maintenance Organization | 3772 Highway 231, Springdale, WA 99173-7008 | 2016-05-19 |
| 1659737245 | Paul F. Genung D.d.s. Inc. | Health Maintenance Organization | 1904 3rd Ave Ste 1031, Seattle, WA 98101-1199 | 2016-01-12 |
| 1407233166 | Accusmile Denture and Dental Inc | Health Maintenance Organization | 7352 15th Ave Nw, Seattle, WA 98117-5401 | 2015-05-01 |
| 1073911673 | Professional Hands of Health Massage | Health Maintenance Organization | 1429 Easthills Ter, East Wenatchee, WA 98802-4624 | 2014-12-12 |
| 1134520463 | Providence Senior Home LLC | Health Maintenance Organization | 3623 W Indian Trail Rd, Spokane, WA 99208 | 2014-09-05 |
| 1710392568 | Bothell Naturopathic Medical Clinic | Health Maintenance Organization | 18920 Bothell Way Ne Ste 102, Bothell, WA 98011-1981 | 2014-06-30 |
| 1275947475 | Lagniappe Acupuncture LLC | Health Maintenance Organization | 839 Nw Sacajawea Pl, Camas, WA 98607-4104 | 2014-06-16 |
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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.