Center for Human Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CENTER FOR HUMAN SERVICES

Practice address

23200 100TH Ave W
Edmonds, WA 98020-5020

Phone

(425) 431-5825

NPI assigned

Nov 3, 2006

Organization subpart

Yes

Parent organization

CENTER FOR HUMAN SERVICESAs reported in NPPES

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

Authorized official

Name

Beratta GomillionNPI 1972942787

Title

Executive Director

Phone

(206) 362-7282

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CHS Scriber Other name

Tax ID family

Center for Human Services6 organizations share this tax ID, including this one

Part of

Center for Human Services

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Human Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shoreline, WA
  • NPI 1053498220
  NPD tax ID
• Center for Human Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bothell, WA
  • NPI 1598103624
  NPD tax ID
• Center for Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreline, WA
  • NPI 1669675609
  NPD tax ID
• Center for Human Services

  • Community/Behavioral Health Agency
  • Mountlake Terrace, WA
  • NPI 1710317672
  NPD tax ID
• Center for Human Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bothell, WA
  • NPI 1730266917
  NPD tax ID

Locations

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.

• Beratta J Gomillion

  • Addiction (Substance Use Disorder) Counselor
  • Shoreline, WA
  • NPI 1972942787
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1023197795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17018 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555126",
            "telephone_number": "206-362-7282",
            "fax_number": "206-362-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23200 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205020",
            "telephone_number": "425-431-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR HUMAN SERVICES",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "GOMILLION",
        "authorized_official_first_name": "BERATTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-362-7282"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994029",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHS Scriber",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria De Los Santos Castillo, INTERPRETER
• Shawn Duggan Cates, P.T.
• Apple Catha, MA00014102
• Ionatan Cauneac
• CC Sports Injury
• Cep America LLC (Vituity)
• Robert G Chaffee, MD
• Michael John Chamberlin, P.T.
• Monica Nakayama Chan, OD
• Chia-Chun Chang, OTR/L, CHT

• Substance Use Disorder Rehabilitation Clinic/Center in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.