NPIMap

Organization Active NPI

Evergreen Psychological Associates, PLLC

  • Counselor
  • Chehalis, WA
National Provider Identifier
1023050770
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EVERGREEN PSYCHOLOGICAL ASSOCIATES, PLLC
Practice address
57 W Main St
Chehalis, WA 98532-4815
Phone
(360) 740-8533
Fax
(360) 740-8534
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Helgi S. Douay, LMHCNPI 1215960950
Title
LMHC/Partner
Phone
(360) 740-8533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

57 W Main St
Chehalis, WA 98532-4815

Mailing address

57 W Main St
Chehalis, WA 98532-4815
Phone (360) 740-8533

National Provider Directory

National Provider Directory

Locations

201 N Rock St
#206
Centralia, WA 98531
Phone (360) 623-1018

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1023050770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324815",
            "telephone_number": "360-740-8533",
            "fax_number": "360-740-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W MAIN ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324815",
            "telephone_number": "360-740-8533",
            "fax_number": "360-740-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "DOUAY",
        "authorized_official_first_name": "HELGI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "LMHC/PARTNER",
        "authorized_official_telephone_number": "360-740-8533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.