Willapa Behavioral Health

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

WILLAPA BEHAVIORAL HEALTH

Practice address

2204 Pacific Ave. N.
Long Beach, WA 98631

Phone

(360) 642-3787

NPI assigned

Nov 22, 2019

Last updated

Apr 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melodie Nichelle PreslerNPI 1629691191

Title

Peer Support

Phone

(360) 205-5576

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Melodie Nichelle Presler

  • Addiction (Substance Use Disorder) Counselor
  • Long Beach, WA
  • NPI 1629691191
  Authorized official Same address or phone

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1033755244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PACIFIC AVE. N.",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "98631",
            "telephone_number": "360-642-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PACIFIC AVE. N.",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "98631",
            "telephone_number": "360-642-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAPA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "PRESLER",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "PEER SUPPORT",
        "authorized_official_telephone_number": "360-205-5576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ward
• Brianna Warfield
• We Care Home Services
• Maria Webb, RN
• Pheasant Weber
• Willapa Counseling Center
• Hannah Wirkkala
• Tysha Marie Wirkkala
• Jesse Wityczak, PHARMD
• Casey A Wood Harrell, PHARMD

• Peer Specialist in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.

Verify at the official NPI Registry.