VANESSA RAE VAUGHN (NPI# 1770008260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770008260 |
| Entity Type | Individual |
| Full Name | VANESSA RAE VAUGHN |
| Credential | CPC |
| Practice Address |
57 W Main St Chehalis WA 98532-4815 |
| Mailing Address |
Po Box 1447 Chehalis WA 98532-0378 |
| Practice Telephone | (360) 795-5955 |
| Mailing Telephone | 3607955955 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
57 W MAIN ST |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766795 | Sandra M Denham | Case Manager/Care Coordinator | 57 W Main St, Chehalis, WA 98532-4815 | 2020-10-01 |
| 1942840160 | Community Integrated Health Services, LLC | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2020-01-15 |
| 1770130700 | Lisa Striedinger | Peer Specialist | 57 W Main St, Chehalis, WA 98532-4815 | 2019-08-23 |
| 1578020368 | Lisa Ann Leon | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2019-02-27 |
| 1669985990 | Alyssa Rose Weber | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2017-11-08 |
| 1407372303 | Sheri Lynn Reeves | Peer Specialist | 57 W Main St, Chehalis, WA 98532-4815 | 2017-08-22 |
| 1225553712 | Tiffany Gabrielle Alexis Hayes | Peer Specialist | 57 W Main St, Chehalis, WA 98532 | 2017-08-07 |
| 1376718825 | Janet M Mckay | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2008-04-25 |
| 1245255785 | Richard T. Kennedy | Psychologist | 57 W Main St, Chehalis, WA 98532-4815 | 2006-07-13 |
| 1215960950 | Helgi S. Douay | Counselor | 57 W Main St, Chehalis, WA 98532-4815 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594585 | Trisha Stahley | Peer Specialist | 57 West Main Street, Chehalis, WA 98532-4815 | 2020-09-25 |
| 1225659212 | Michael Koplin | Peer Specialist | 135 W Main St, Chehalis, WA 98532-4817 | 2020-04-30 |
| 1669015152 | Rita Eva Adelina Hotchkiss | Peer Specialist | 505 Se Adams Ave, Chehalis, WA 98532-3031 | 2019-10-28 |
| 1770130700 | Lisa Striedinger | Peer Specialist | 57 W Main St, Chehalis, WA 98532-4815 | 2019-08-23 |
| 1568026722 | Hanna Rose Delancy | Peer Specialist | 151 N Market Blvd Ste C, Chehalis, WA 98532-2677 | 2019-04-23 |
| 1376001255 | Maria Elana Smazik | Peer Specialist | 151 N Market Blvd Ste D, Chehalis, WA 98532-2677 | 2019-03-09 |
| 1326505926 | Scott Robertson Jr. | Peer Specialist | 151 N Market Blvd Ste D, Chehalis, WA 98532-2677 | 2019-03-01 |
| 1790240661 | Kari L Mitchell | Peer Specialist | 135 W Main St, Chehalis, WA 98532-4817 | 2019-02-05 |
| 1265905376 | Kristen Marie Snyder | Peer Specialist | 151 N Market Blvd Ste D, Chehalis, WA 98532-2677 | 2019-01-10 |
| 1104394154 | Darlene Poe | Peer Specialist | 151 N Market Blvd Ste C, Chehalis, WA 98532-2677 | 2018-11-07 |
| Find all providers in CHEHALIS | ||||
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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.