NPIMap

Organization Active NPI

Confederated Tribes of the Chehalis Reservation

  • Adult Mental Health Clinic/Center
  • Oakville, WA
National Provider Identifier
1043636442
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
14 0096 00 Issued in WA
Legal business name
CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION
Practice address
420 Howanut Rd
Oakville, WA 98568-9659
Phone
(360) 709-1628
Fax
(360) 273-8957
NPI assigned
Mar 10, 2014
Organization subpart
Yes
Parent organization
CHEHALIS TSAPOWUM BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Kimberly Coombs
Title
Director
Phone
(360) 709-1772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 14 0096 00 WA Primary

Addresses

Primary practice location

420 Howanut Rd
Oakville, WA 98568-9659

Mailing address

420 Howanut Rd
Oakville, WA 98568-9659
Phone (360) 709-1628

Other identifiers 2

IdentifierTypeStateIssuer
1346383379OtherWACHEHALIS MEDICAL NPI
1008323OtherWAMEDICAID PROVIDER ONE DOMAIN ID

Other names 1

  • Chehalis Tsapowum Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Chehalis Tribal Health Center6 organizations share this tax ID, including this one
Part of
The Chehalis Tribal Health Center

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1043636442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HOWANUT RD",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985689659",
            "telephone_number": "360-709-1628",
            "fax_number": "360-273-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HOWANUT RD",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985689659",
            "telephone_number": "360-709-1628",
            "fax_number": "360-273-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEHALIS TSAPOWUM BEHAVIORAL HEALTH",
        "enumeration_date": "2014-03-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-709-1772"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "14 0096 00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEHALIS MEDICAL NPI",
            "identifier": "1346383379",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ONE DOMAIN ID",
            "identifier": "1008323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chehalis Tsapowum Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.