NPIMap

Organization Active NPI

Charis Counseling Associates

  • Community/Behavioral Health Agency
  • Vancouver, WA
National Provider Identifier
1083880801
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARIS COUNSELING ASSOCIATES
Practice address
11802 NE 117TH Ave
Vancouver, WA 98662-1560
Phone
(360) 891-2000
Fax
(360) 944-6965
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Bart James Fowler, PSY.D.NPI 1003194564
Title
Executive Director
Phone
(360) 891-2000

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11802 NE 117TH Ave
Vancouver, WA 98662-1560

Mailing address

11802 NE 117TH Ave
Vancouver, WA 98662-1560
Phone (360) 891-2000

National Provider Directory

National Provider Directory

Locations

11801 NE 112th Ave
Vancouver, WA 98662
Phone (360) 210-1704

Practitioners & affiliated clinicians

Practitioners 8

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1083880801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 NE 117TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621560",
            "telephone_number": "360-891-2000",
            "fax_number": "360-944-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 NE 117TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986621560",
            "telephone_number": "360-891-2000",
            "fax_number": "360-944-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-891-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.