CASCADE EVALUATION AND TREATMENT CENTER (NPI# 1760979298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760979298 |
| Entity Type | Organization |
| Organization Name | CASCADE EVALUATION AND TREATMENT CENTER |
| Practice Address |
3510 Steelhammer Dr Centralia WA 98531-4551 |
| Practice Telephone | 3606238020 |
| Practice Fax Number | 3606237070 |
| Mailing Telephone | 3606238020 |
| Mailing Fax Number | 3606237070 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | RICHARD STRIDE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3603309044 |
| Authorized Official Credential | LMHC, PSYD |
| Is Organization Subpart | Y |
| Parent Organization Name | LEWIS COUNTY MENTAL HEALTH ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 60811831 | WA | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CASCADE EVALUATION AND TREATMENT CENTER, LLC | 345 Nw Pacific Ave, Chehalis, WA 98532-2016 |
| Street Address |
3510 STEELHAMMER DR |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149084 | Tarrah Bonner | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2016-12-27 |
| 1164034468 | Katelyn Dnae Sherrill | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-08-18 |
| 1740808641 | Cindy Sue Shaw | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1003434903 | Naomi Jean Hamilton | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-07-08 |
| 1316561764 | Molly Kathleen Bryan | Licensed Practical Nurse | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-06-02 |
| 1346861002 | Tamie L. Mccrandall | Peer Specialist | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-05-04 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1366078651 | Elise Lenee Hirtzel | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1386270676 | Amy Michelle Dearing | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| 1730715020 | Timothy Barrett | Social Worker | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-03-18 |
| Find all providers in the same location | ||||
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1891242913 | Amanda Wager | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th Street, Seattle, WA 98115-2727 | 2016-09-07 |
| 1801240361 | Alyssia Lucas | Community Based Residential Treatment Facility, Mental Illness | 6510 Cady Rd, Everett, WA 98203-4520 | 2016-04-20 |
| 1821459041 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-03-16 |
| 1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
| 1083035547 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 201 S 2nd Ave, Yakima, WA 98902 | 2013-12-30 |
| 1801224803 | The Clearing, Spc | Community Based Residential Treatment Facility, Mental Illness | 2687 W Valley Rd, Friday Harbor, WA 98250-8164 | 2013-10-29 |
| 1952532996 | Behavioral Health Resources | Community Based Residential Treatment Facility, Mental Illness | 1275 S 2nd Ave Sw, Tumwater, WA 98512-6976 | 2009-08-06 |
| 1447481858 | Elahan Place | Community Based Residential Treatment Facility, Mental Illness | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2009-08-03 |
| 1689812968 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 504 S 3rd Ave, Yakima, WA 98902 | 2009-01-26 |
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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.