Active NPI
Blue Mountain Heart to Heart
- Case Management Agency
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- BLUE MOUNTAIN HEART TO HEART
- Practice address
- 320 W Willow St Ste 1
Walla Walla, WA 99362-2922 - Phone
- (509) 629-6963
- Fax
- (844) 689-2496
- NPI assigned
- Aug 14, 2007
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Tabacco
- Title
- Biling and Authorizations
- Phone
- (509) 200-9201
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
320 W Willow St Ste 1
Walla Walla, WA 99362-2922
Mailing address
PO Box 40
Walla Walla, WA 99362-0201
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1079838 | Blue Mountain Heart to Heart | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
2330 Eastgate St
Ste 105
Walla Walla, WA 99362
Phone (509) 973-5788
320 W Willow St
Ste 1
Walla Walla, WA 99362
Phone (509) 629-6963
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Walla Walla, WA
- NPI 1053113035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1003008046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993620201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W WILLOW ST STE 1",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622922",
"telephone_number": "509-629-6963",
"fax_number": "844-689-2496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE MOUNTAIN HEART TO HEART",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "TABACCO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILING AND AUTHORIZATIONS",
"authorized_official_telephone_number": "509-200-9201"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
- Roger K Blood
- Blue Mountain Action Council
- Blue Mountain Eye PLLC (Lifestyle Eye Center)
- Blue Mountain Genetics Clinic, PLLC
- Blue Mountain Health Cooperative
- Blue Mountain Industries LLC (Blue Mountain Industries)
- Blue Mountain Medical Goup, PLLC
- Blue Mountain Midwifery & Women's Health Care
- Blue MTN Orthopaedics
- Eileen Blute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.