WILLAPA COUNSELING CENTER (NPI# 1760008783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760008783 |
| Entity Type | Organization |
| Organization Name | WILLAPA COUNSELING CENTER |
| Practice Address |
2204 Pacific Ave N Long Beach WA 98631-3300 |
| Practice Telephone | 3606423787 |
| Mailing Telephone | 3606423787 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | ADAM RUSSELL MARQUIS (CEO) |
| Authorized Official Telephone | 3602271750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1054667 | 05 |
| Other Name | Type Code |
|---|---|
| WILLAPA BEHAVIORAL HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WILLAPA COUNSELING CENTER | 2204 Pacific Ave N, Long Beach, WA 98631-3300 |
| Street Address |
2204 PACIFIC AVE N |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174570949 | Willapa Counseling Center | Clinic/Center | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2006-05-27 |
| 1114542503 | Sarah Wheat | Social Worker | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-06-10 |
| 1629691191 | Melodie Nichelle Presler | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-05-19 |
| 1184245565 | Michael Nolan | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-04-27 |
| 1598398067 | Cassaundra Cretian | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2020-02-12 |
| 1396381083 | Tysha Marie Wirkkala | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-11-18 |
| 1417590324 | Arielle Stewart | Peer Specialist | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-10-23 |
| 1841841152 | John Williams | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-27 |
| 1184275265 | Marisa Elizabeth Maul | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-20 |
| 1336799436 | Brian Clay Dadiw | Counselor | 2204 Pacific Ave N, Long Beach, WA 98631-3300 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1619460557 | Rosannara Chhun | General Practice | 1701 Cherry Ave, Long Beach, CA 90813-2519 | 2018-06-13 |
| 1447667357 | Right Choice Primary Care Walk-in Medical Office | General Practice | 303 E. Park Avenue Suite E, Long Beach, NY 11561 | 2014-07-14 |
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1992935639 | Port Medical Associate Inc | General Practice | 2530 Atlantic Ave Ste A, Long Beach, CA 90806-2741 | 2009-07-15 |
| 1194967646 | George Louis Leonard | General Practice | 26 Scott Station Cv, Long Beach, MS 39560-3613 | 2009-03-30 |
| 1730333675 | Sylvia Waguih Hanna | General Practice | 500 W. Willow Street, Long Beach, CA 90806 | 2008-11-05 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1952583569 | Kailash Dhamija Walk In Medical Care A Medical Corporation | General Practice | 3760 Atlantic Ave # A, Long Beach, CA 90807-3409 | 2007-12-05 |
| 1447389085 | Robert Sheldon Pallas | General Practice | 1138 Palo Verde Ave, Long Beach, CA 90815-4664 | 2007-03-02 |
| 1063571834 | Adrienne Ann Grant | General Practice | 1777 N Bellflower Blvd Ste 107, Long Beach, CA 90815-4019 | 2006-12-08 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on WILLAPA COUNSELING CENTER.
| 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.