PALOUSE RIVER COUNSELING CENTER (NPI# 1932288180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932288180 |
| Entity Type | Organization |
| Organization Name | PALOUSE RIVER COUNSELING CENTER |
| Other Organization Name | PALOUSE RIVER COUNSELING |
| Practice Address |
340 Ne Maple St Pullman WA 99163-4120 |
| Practice Telephone | 5093341133 |
| Practice Fax Number | 5093321608 |
| Mailing Telephone | 5093341133 |
| Mailing Fax Number | 5093321608 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MIKE BERNEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5093341133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
38 0138 00 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1994276 | 05 |
| Other Name | Type Code |
|---|---|
| Palouse River Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486272 | Palouse River Counseling Center | Community/Behavioral Health | 340 Ne Maple St, Pullman, WA 99163-4120 | 2006-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PALOUSE RIVER COUNSELING CENTER, A NONPROFIT CORPORATION | 340 Ne Maple, Pullman, WA 99163 |
| Street Address |
340 NE MAPLE ST |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486272 | Palouse River Counseling Center | Community/Behavioral Health | 340 Ne Maple St, Pullman, WA 99163-4120 | 2006-02-14 |
| 1043833528 | Arielle Webb | Counselor | 340 Ne Maple St, Pullman, WA 99163-4120 | 2020-05-19 |
| 1740801265 | Lucas Leitner | Behavioral Analyst | 340 Ne Maple St, Pullman, WA 99163-4120 | 2020-05-06 |
| 1477183622 | Casey Anna Maria Dail | Behavioral Analyst | 340 Ne Maple St, Pullman, WA 99163-4120 | 2020-01-16 |
| 1033756663 | Leslie Nmi Cornejo | Behavioral Analyst | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-12-02 |
| 1841845682 | Olesya Mikheeva Mussman | Counselor | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-08-08 |
| 1194377432 | Briana Michelle Hazelwood | Behavioral Analyst | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-07-16 |
| 1134784036 | Ning None Wang | Social Worker | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-05-06 |
| 1053878462 | Heather Lannigan | Counselor | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-02-22 |
| 1164996708 | Lorna Wigen | Counselor | 340 Ne Maple St, Pullman, WA 99163-4120 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
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| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
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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.