EDGEWOOD SEATTLE ADDICTION SERVICES (NPI# 1437496684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437496684 |
| Entity Type | Organization |
| Organization Name | EDGEWOOD SEATTLE ADDICTION SERVICES |
| Practice Address |
1200 Westlake Ave N Suite 508 Seattle WA 98109-3543 |
| Practice Telephone | 2064054115 |
| Practice Fax Number | 2065358207 |
| Mailing Telephone | 2064054115 |
| Mailing Fax Number | 2065358207 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | COURTNEY STRONG (DIRECTOR) |
| Authorized Official Telephone | 2064024115 |
| Authorized Official Credential | LMHC CDP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | WA | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EDGEWOOD SEATTLE ADDICTION SERVICES LLC | 2121 Boxwood Rd, Nanaimo, BC 98109, Can |
| Street Address |
1200 WESTLAKE AVE N SUITE 508 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851620405 | Brian J Pendergast | Counselor | 1200 Westlake Ave N, #901, Seattle, WA 98109-3543 | 2009-12-10 |
| 1053958058 | Nicole Marie Sartore Babuin | Counselor | 1200 Westlake Ave N, Seattle, WA 98109-3543 | 2019-12-09 |
| 1932641842 | Amanda Renee Mathis | Counselor | 1200 Westlake Ave N, Suite 810, Seattle, WA 98109-3543 | 2016-11-08 |
| 1164972600 | Sensum LLC | Community/Behavioral Health | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2016-10-07 |
| 1750751756 | Jack Ringel | Social Worker | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2015-10-02 |
| 1902272180 | Mandahla Medical | Chiropractor | 1200 Westlake Ave N, Ste 604, Seattle, WA 98109-3543 | 2015-08-11 |
| 1740678424 | Shea Marie Fitzgerald | Counselor | 1200 Westlake Ave N, Suite 508, Seattle, WA 98109-3543 | 2015-01-02 |
| 1134560907 | Eve M Ruff | Counselor | 1200 Westlake Ave N, Suite 508, Seattle, WA 98109-3543 | 2013-07-09 |
| 1750650685 | Laura Mathews | Marriage & Family Therapist | 1200 Westlake Ave N, Suite 901, Seattle, WA 98109-3543 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| 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 |
|---|---|---|---|---|
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1336786243 | Seneca Family of Agencies | Community/Behavioral Health | 1812 Sw Myrtle St, Seattle, WA 98106-1644 | 2019-12-10 |
| 1154968063 | Seneca Family of Agencies | Community/Behavioral Health | 6020 Rainier Ave S, Seattle, WA 98118-2776 | 2019-12-10 |
| 1053958124 | Seneca Family of Agencies | Community/Behavioral Health | 4030 Ne 109th St, Seattle, WA 98125-7934 | 2019-12-07 |
| 1932756020 | Autism Compassion Services | Community/Behavioral Health | 1823 Minor Ave Apt 2704, Seattle, WA 98101-0930 | 2019-08-22 |
| 1538625801 | Supported Solution, LLC | Community/Behavioral Health | 4414 Sw Graham St, Seattle, WA 98136-1440 | 2019-02-12 |
| 1679044333 | Constructional Consultants LLC | Community/Behavioral Health | 1233 Ne 69th St, Seattle, WA 98115-6747 | 2018-12-06 |
| 1811479249 | Claudelle R Glasgow, Psyd, Pllc | Community/Behavioral Health | 1105 23rd Ave, Seattle, WA 98122-4859 | 2018-09-01 |
| 1063917607 | Creative Therapy | Community/Behavioral Health | 2366 Eastlake Ave E Ste 402, Seattle, WA 98102-3394 | 2018-03-26 |
| 1952809857 | Community Care LLC | Community/Behavioral Health | 5424 Delridge Way Sw Unit A, Seattle, WA 98106-1439 | 2018-01-25 |
| Find all providers in SEATTLE | ||||
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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.