BLUE MOUNTAIN COUNSELING (NPI# 1760672687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760672687 |
Entity Type | Organization |
Organization Name | BLUE MOUNTAIN COUNSELING |
Practice Address |
720 W Court St Pasco WA 99301-4178 |
Mailing Address |
221 E Washington Ave Dayton WA 99328-1317 |
Practice Telephone | 5095479000 |
Practice Fax Number | 5095479000 |
Mailing Telephone | 5093821164 |
Mailing Fax Number | 5093821166 |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-08-16 |
Authorized Official Name | MR. KENNETH ROUGHTON (DIRECTOR) |
Authorized Official Telephone | 5093821164 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1995075 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629301569 | Blue Mountain Counseling | Community/Behavioral Health | 221 E Washington Ave, Dayton, WA 99328-1317 | 2009-09-10 |
1518157825 | Blue Mountain Counseling | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2007-08-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Blue Mountain Counseling | 518 28 Road, B103, Grand Junction, CO 81501 |
Indiana Business Entities | BLUE MOUNTAIN COUNSELING LLC | 14074 Trade Center Drive, Suite 142, Fishers, IN 46038 |
Washington State Corporations | BLUE MOUNTAIN COUNSELING OF COLUMBIA COUNTY | 221 E Washington Ave, Dayton, WA 99328-1317 |
Street Address |
720 W COURT ST |
City | PASCO |
State | WA |
Zip Code | 99301-4178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205995198 | Octaviano Salas | Counselor | 720 W Court St, #8, Pasco, WA 99301 | 2006-12-06 |
1548560840 | Geralyn C Retzel | Registered Nurse | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2010-11-02 |
1316254931 | Cindy L Holt | Registered Nurse | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2010-09-02 |
1073757696 | Tina Louise Torres | Counselor | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2009-04-27 |
1053587790 | Debra Lee Shines | Licensed Practical Nurse | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2008-05-02 |
1700058757 | Cesar Mauricio Gomez | Counselor | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2008-03-31 |
1639341688 | Jesus Javier Delgado | Counselor | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2008-03-31 |
1568654200 | Elizabeth Fluke | Counselor | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2007-08-16 |
1912199662 | Gerardo Sandoval | Counselor | 720 W Court St, Suite 8, Pasco, WA 99301-4178 | 2007-08-16 |
1013134873 | Veronica Dolores Gutierrez | Counselor | 720 W Court St, Suite #8, Pasco, WA 99301 | 2007-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
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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 |
---|---|---|---|---|
1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
1326171083 | Virginia Rickertsen | Community/Behavioral Health | 303 N 20th Ave, Pasco, WA 99301-4963 | 2007-03-13 |
1215588371 | Tri-cities Community Health | Community/Behavioral Health | 715 W Court St, Pasco, WA 99301-4153 | 2019-09-20 |
1700339876 | Stephanie Bunn | Community/Behavioral Health | 1020 S 7th Ave, Pasco, WA 99301-5794 | 2016-07-25 |
1275886574 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-24 |
1437339306 | Educational Service District 123 | Community/Behavioral Health | 3918 W Court St, Pasco, WA 99301-2775 | 2007-11-08 |
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 |
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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.