NPIMap

Organization Active NPI

Skokomish Indian Tribe

  • Mental Health Counselor
  • Skokomish Nation, WA
National Provider Identifier
1073715272
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00009495 Issued in WA
Legal business name
SKOKOMISH INDIAN TRIBE
Practice address
N. 561 Tribal Center Rd
Skokomish Nation, WA 98584-7416
Phone
(360) 426-7788
Fax
(360) 462-0082
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Maylnn Foster
Title
Office Manager
Phone
(360) 426-7788

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00010657 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00009495 WA Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY00002366 WA
Adolescent Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0000X MD00012725 WA

Addresses

Primary practice location

N. 561 Tribal Center Rd
Skokomish Nation, WA 98584-7416

Mailing address

N. 561 Tribal Center Rd
Skokomish Nation, WA 98584-7416
Phone (360) 426-7788

Other identifiers 1

IdentifierTypeStateIssuer
1980796MedicaidWA

Other names 1

  • Skokomish Tribal Mental Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Jonathan Sugarman MD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073715272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N. 561 TRIBAL CENTER RD",
            "city": "SKOKOMISH NATION",
            "state": "WA",
            "postal_code": "985847416",
            "telephone_number": "360-426-7788",
            "fax_number": "360-462-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N. 561 TRIBAL CENTER RD",
            "city": "SKOKOMISH NATION",
            "state": "WA",
            "postal_code": "985847416",
            "telephone_number": "360-426-7788",
            "fax_number": "360-462-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKOMISH INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MAYLNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-426-7788"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010657",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009495",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00002366",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "WA",
            "license": "MD00012725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980796",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skokomish Tribal Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Skokomish Nation, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.