AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC. (NPI# 1720578487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720578487 |
| Entity Type | Organization |
| Organization Name | AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC. |
| Other Organization Name | AMERICAN BEHAVIORAL HEALTH SYSTEMS CENTRALIA OUTPATIENT |
| Practice Address |
1723 Kresky Ave Centralia WA 98531-8985 |
| Mailing Address |
Po Box 141106 Spokane Valley WA 99214-1106 |
| Practice Telephone | 5092325766 |
| Practice Fax Number | 5093215472 |
| Mailing Telephone | 5092325766 |
| Mailing Fax Number | 5093215472 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | TIFFANY DAWN STRETCH (CFO) |
| Authorized Official Telephone | 5092325766 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| American Behavioral Health Systems Centralia Outpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1073648374 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2007-02-23 |
| 1588209902 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-11-08 |
| 1063974467 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 1230 Monitor St, Wenatchee, WA 98801-3534 | 2019-04-03 |
| 1124518881 | American Behavioral Health Systems, Inc. | Clinic/Center | 5548 Myrtle Ave Ste 202, Freeland, WA 98249-8776 | 2018-05-17 |
| 1962991661 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 12715 E Mission Ave, Spokane Valley, WA 99216-1027 | 2018-05-08 |
| 1598123226 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2016-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC. | 12715 E Mission Ave, Spokane Valley, WA 99216-1027 |
| Washington State Corporations | AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC. | 601 W Riverside Ave #1400, Spokane, WA 99201 |
| Street Address |
1723 KRESKY AVE |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376078246 | Ashley Patrice Broussard | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2017-04-27 |
| 1700359411 | Tonja Evonne Vernon | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-04 |
| 1215400155 | Lora Lee Mattox | Peer Specialist | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-03 |
| 1114490166 | Michelle Griffin | Spec/Tech, Health Info | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-02 |
| 1730652710 | Cyndi Labrec | Counselor | 1723 Kresky Ave, Centralia, WA 98531-8985 | 2019-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1134505407 | Lewis County Therapy Services, LLC | Community/Behavioral Health | 1000 Kresky Ave # 6, Centralia, WA 98531-3700 | 2015-08-10 |
| 1063765055 | Community Resource Center | Community/Behavioral Health | 904 E Mlk Drive, Centralia, IL 62801-3058 | 2012-10-16 |
| 1407268782 | Cedars Psychology Services, LLC | Community/Behavioral Health | 221 N Tower Ave, Suite 301, Centralia, WA 98531-4309 | 2014-05-21 |
| 1518246776 | Community Resource Center | Community/Behavioral Health | 101 S Locust St, Centralia, IL 62801-3506 | 2011-08-05 |
| 1871896936 | Community Resource Center | Community/Behavioral Health | 101 S Locust St, Centralia, IL 62801-3506 | 2010-12-13 |
| 1841468568 | Community Resource Center Inc | Community/Behavioral Health | 904 East Martin Luther King Drive, Centralia, IL 62801 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821539 | Cpf Breakthrough, LLC | Community/Behavioral Health | 11711 E Sprague Ave Ste D4, Spokane Valley, WA 99206-6122 | 2020-11-03 |
| 1538760111 | Nw Family Recovery Solutions | Community/Behavioral Health | 710 Bay St, Port Orchard, WA 98366-5310 | 2020-11-02 |
| 1891395091 | Art Nelson LLC | Community/Behavioral Health | 18679 15th Loop Ne, Poulsbo, WA 98370-7436 | 2020-10-27 |
| 1508463803 | Kim Lampson Pllc | Community/Behavioral Health | 9725 Se 36th St Ste 301, Mercer Island, WA 98040-3840 | 2020-10-08 |
| 1518573971 | Olive Crest | Community/Behavioral Health | 10125 Frontier Pl Nw, Silverdale, WA 98383-9408 | 2020-09-21 |
| 1659980563 | Deborah M Connors Pllc | Community/Behavioral Health | 534 Ne Everett St Ste 201, Camas, WA 98607-2025 | 2020-07-27 |
| 1790393221 | Charmd Behavioral & Health LLC | Community/Behavioral Health | 4318 233rd Pl Se, Bothell, WA 98021-9057 | 2020-07-21 |
| 1699392548 | Ryan Wathne Pllc | Community/Behavioral Health | 2711 E Madison St Ste 203, Seattle, WA 98112-4763 | 2020-06-26 |
| 1184241192 | Optimum Counseling, LLC | Community/Behavioral Health | 10710 Ne 10th St Apt 108, Bellevue, WA 98004-1033 | 2020-06-25 |
| 1467079467 | Recovery Cafe of Clark County | Community/Behavioral Health | 3312 E Fourth Plain Blvd Ste 100, Vancouver, WA 98661-5489 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.