DAYBREAK YOUTH SERVICES (NPI# 1518973445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973445 |
| Entity Type | Organization |
| Organization Name | DAYBREAK YOUTH SERVICES |
| Practice Address |
200 N Mullan Rd Suite 120 Spokane Valley WA 99206 |
| Mailing Address |
960 E 3rd Ave Spokane WA 99202-2241 |
| Practice Telephone | 5099271688 |
| Practice Fax Number | 5094447038 |
| Mailing Telephone | 5094447033 |
| Mailing Fax Number | 5099271851 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | MS. ANNETTE KLINEFELTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5094447033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 32011600 | WA | Agencies |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
32011600 | WA | Ambulatory Health Care Facilities |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
32011600 | WA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32011600 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE DBHR | 011600 | 01 |
| WA | 1012387 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306851175 | Daybreak Youth Services | Clinic/Center | 11910 Ne 154th St, Brush Prairie, WA 98606 | 2006-07-30 |
| 1073534228 | Daybreak Youth Services | Clinic/Center | 628 S Cowley St, Spokane, WA 99202 | 2006-07-22 |
| 1639644842 | Daybreak Youth Services | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-04 |
| 1003199712 | Daybreak Youth Services | Counselor | 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 | 2011-09-20 |
| 1376558049 | Daybreak Youth Services | Counselor | 10814 E Broadway Ave, Suite 202 - 293, Spokane Valley, WA 99206-5003 | 2006-07-30 |
| Street Address |
200 N MULLAN RD SUITE 120 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538118534 | Dorothy Stewart | Dentist | 200 N Mullan Rd, Ste. 103, Spokane Valley, WA 99206-3788 | 2006-05-08 |
| 1154447704 | Carly Jones | Social Worker | 200 N Mullan Rd, Ste 222, Spokane Valley, WA 99206-3793 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437710670 | Kimberly Rae Puntney | Counselor | 1010 S Robie Rd, Spokane Valley, WA 99206-5437 | 2019-06-27 |
| 1003470006 | Gary Mark Frost | Counselor | 915 N Ella Rd, Spokane Valley, WA 99212-3704 | 2019-04-24 |
| 1306311568 | Lisa Louise Taylor-tussey | Counselor | 14819 E Mission Ave, Spokane Valley, WA 99216-1960 | 2018-10-03 |
| 1659875359 | Hallie Burchinal | Counselor | 200 N Mullan Rd Ste 120, Spokane Valley, WA 99206-6827 | 2018-03-19 |
| 1093216798 | Crystal Thueringer | Counselor | 2301 N Wilbur Rd Apt 105, Spokane Valley, WA 99206-7615 | 2018-02-27 |
| 1972039873 | Eileen Jacobson | Counselor | 15407 E Mission Ave Ste 100, Spokane Valley, WA 99037-8527 | 2017-05-11 |
| 1487188215 | Craig Mcelroy | Counselor | 15407 E Mission Ave, Spokane Valley, WA 99037-8536 | 2017-04-19 |
| 1275925661 | Deana M Spencer | Counselor | 15714 E Valleyway Ave, Spokane Valley, WA 99037-9583 | 2015-02-23 |
| 1790196574 | Lisa L Parker | Counselor | 12715 E Mission Ave, Spokane Valley, WA 99216-1027 | 2014-05-14 |
| 1609295740 | Cheryl K Wright | Counselor | 721 N Pines Rd Ste 102, Spokane Valley, WA 99206-5225 | 2014-04-15 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99206 |
Please comment or provide details below to improve the information on DAYBREAK YOUTH SERVICES.
| 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.