TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. (NPI# 1730532136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730532136 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. |
| Other Organization Name | TELECARE THURSTON MASON CRISIS TRIAGE |
| Practice Address |
3285 Ferguson St Sw Tumwater WA 98512-6192 |
| Mailing Address |
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 3609431907 |
| Practice Fax Number | 3609431932 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MRS. LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Telecare Thurston Mason Crisis Triage | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1982135554 | Telecare Mental Health Services of Washington, Inc. | Clinic/Center | 601 W Franklin St, Suite B, Shelton, WA 98584-3518 | 2017-03-24 |
| 1659758639 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2015-04-29 |
| 1043828643 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 3436 Mary Elder Rd Ne, Olympia, WA 98506-5050 | 2020-07-20 |
| 1598289324 | Telecare Mental Health Services of Washington, Inc. | Clinic/Center | 908 5th Ave Se, Olympia, WA 98501-1507 | 2017-08-02 |
| 1285963538 | Telecare Mental Health Services of Washington, Inc. | Community/Behavioral Health | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2009-12-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC. | 1080 Marina Village Pkwy, Ste 100, Alameda, CA 94501 |
| Street Address |
3285 FERGUSON ST SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-6192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383800 | Megan N Davis | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-12 |
| 1033716451 | Nicole Alexandria Nomic | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-10-08 |
| 1962019711 | Jessica Ege | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-09-25 |
| 1366057127 | Ernesto J Cabrera | Counselor | 3285 Ferguson St Sw, Tumwater, VA 98512 | 2020-09-09 |
| 1649882697 | David Allen Kessel | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-08-20 |
| 1922617851 | Melissa K Rowe | Social Worker | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-27 |
| 1265040497 | Amber Lee Boehm | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-14 |
| 1023636024 | Nicholas Ryder | Music Therapist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-07 |
| 1932726262 | Jakai Shakoor Cavness | Counselor | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-07-02 |
| 1770111718 | Anetira Mary Donelan | Peer Specialist | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2020-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936557 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 7224 Pacific Highway East, Milton, WA 98354 | 2019-01-14 |
| 1790298347 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 33480 13th Pl S, Federal Way, WA 98003-6357 | 2017-11-06 |
| 1699223826 | Center for Discovery | Psychiatric Residential Treatment Facility | 2202 S Cedar St Ste 175, Tacoma, WA 98405-2318 | 2016-09-16 |
| 1922489392 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7511 176th St Sw, Edmonds, WA 98026-5529 | 2015-06-11 |
| 1659758639 | Telecare Mental Health Services of Washington, Inc. | Psychiatric Residential Treatment Facility | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2015-04-29 |
| 1780072900 | The Emily Program PC | Psychiatric Residential Treatment Facility | 7275 N. Mercer Way, Mercer Island, WA 98040 | 2014-12-23 |
| 1437554359 | Recovery Innovations, Inc | Psychiatric Residential Treatment Facility | 2150 Freeman Rd E Ste 1, Fife, WA 98424-3776 | 2014-11-04 |
| 1760796130 | Project Patch | Psychiatric Residential Treatment Facility | 2404 E Mill Plain Blvd Ste 4, Vancouver, WA 98661-4334 | 2010-07-28 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1679613905 | Tamarack Center | Psychiatric Residential Treatment Facility | 2901 W Fort George Wright Dr, Spokane, WA 99224-5202 | 2007-02-07 |
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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.