BELLEVUE COMMUNITY SERVICES (NPI# 1396017703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396017703 |
Entity Type | Organization |
Organization Name | BELLEVUE COMMUNITY SERVICES |
Practice Address |
1160 140th Ave Ne Ste F Bellevue WA 98005-2978 |
Practice Telephone | 4254540616 |
Practice Fax Number | 4256371289 |
Mailing Telephone | 4254540616 |
Mailing Fax Number | 4256371289 |
Enumeration Date | 2012-01-31 |
Last Update Date | 2012-01-31 |
Authorized Official Name | JOHN WILLIAM LENNON (CLINICAL DIRECTOR) |
Authorized Official Telephone | 4254540616 |
Authorized Official Credential | ED.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 602228527 | WA | Agencies |
Street Address |
1160 140TH AVE NE STE F |
City | BELLEVUE |
State | WA |
Zip Code | 98005-2978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558489278 | Rodney Arthur Jong Sr. | Marriage & Family Therapist | 1160 140th Ave Ne, Bellevue, WA 98005-2978 | 2007-03-27 |
1508317660 | Cohear Enterprises, Inc. | Marriage & Family Therapist | 1160 140th Ave Ne, Suite E & F, Bellevue, WA 98005-2978 | 2016-10-24 |
1871943985 | James A Amandus | Counselor | 1160 140th Ave Ne, Suite F, Bellevue, WA 98005-2978 | 2016-06-20 |
1770951634 | Julia Erin Jenkins | Counselor | 1160 140th Ave Ne, Suite E, Bellevue, WA 98005-2978 | 2015-09-09 |
1972994051 | Megan Fisher | Counselor | 1160 140th Ave Ne, Suite F, Bellevue, WA 98005-2978 | 2015-02-11 |
1265870356 | Nolan Anthony Giesbers | Marriage & Family Therapist | 1160 140th Ave Ne, Suite F, Bellevue, WA 98005-2978 | 2013-06-11 |
1689939555 | Buster Jonas Radvik | Counselor | 1160 140th Ave Ne, Ste. F, Bellevue, WA 98005-2978 | 2012-07-06 |
1548521404 | John William Lennon | Counselor | 1160 140th Ave Ne, Ste E Or F, Bellevue, WA 98005-2978 | 2012-06-06 |
1922301142 | Alison A. Davis | Counselor | 1160 140th Ave Ne, Bellevue, WA 98005-2978 | 2010-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
Find all providers in zip 98005 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
1366929762 | Consejo Couseling and Referral Service - Bellevue | Community/Behavioral Health | 13343 Bel-red Road, Suite 210, Bellevue, WA 98005-2327 | 2018-07-27 |
1730637695 | Timothy Shek-pui Tam | Community/Behavioral Health | 1231 116th Ave Ne Ste 800, Bellevue, WA 98004-3822 | 2016-09-20 |
1346627361 | Hopeful Hands Inc | Community/Behavioral Health | 16301 Ne 8th St, Bellevue, WA 98008-3992 | 2015-04-28 |
1104228246 | Scarlett Behavioral Services | Community/Behavioral Health | 2821 131st Pl Ne, Bellevue, WA 98005-1714 | 2014-09-19 |
1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
1881923183 | Working Choices, Inc | Community/Behavioral Health | 1611 116th Ave Ne Ste 101, Bellevue, WA 98004-3048 | 2009-12-15 |
1689702060 | Rainbow of Hope | Community/Behavioral Health | 2009 Franklin St, Bellevue, NE 68005-5055 | 2007-02-28 |
1326185844 | Coastal Treatment Services, Inc. | Community/Behavioral Health | 14730 Ne 8th St, Suite 110, Bellevue, WA 98007-4116 | 2007-01-31 |
1356496335 | Youth Eastside Services | Community/Behavioral Health | 999 164th Ave Ne, Bellevue, WA 98008-3518 | 2007-01-23 |
Find all providers in BELLEVUE |
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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.