Benjamin Jarrod Belland, CG61278602

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61278602 Issued in WA

Practice address

21810 NE 37TH Ave
Ridgefield, WA 98642-7747

Phone

(360) 771-0482

Fax

(360) 397-7477

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jarrod@xchangelives.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• X Change Recovery

  dba XChange Behavioral Health Agency

  • Addiction (Substance Use Disorder) Counselor
  • Ridgefield, WA
  • NPI 1033736491

  Peer Specialist

  NPD
• Xchange Behavioral Health Agency

  • Case Management Agency
  • Ridgefield, WA
  • NPI 1780313320
  NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1093462624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986041299",
            "telephone_number": "360-771-0482",
            "fax_number": "360-397-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 NE 37TH AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427747",
            "telephone_number": "360-771-0482",
            "fax_number": "360-397-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAND",
        "first_name": "BENJAMIN",
        "middle_name": "JARROD",
        "credential": "CG61278602",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61278602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jarrod@xchangelives.org",
            "affiliation": "N",
            "endpointDescription": "jarrod@xchangelives.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email",
            "address_1": "21810 NE 37th Ave",
            "city": "Ridgefield",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986427747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ayelech Areda
• Bryce Alan Ashby, PHARMD
• Lacey Ellen Ashley
• Alyssa Atchley I
• Battle Ground Physical Therapy (Ridgefield Physical Therapy)
• Gabrielle Laura Benson, LMT
• Janet Bentley-Jones, SUDP
• Jessica Biron
• Kim Blaufuss, L.AC
• Bodywork Devine LLC

• Peer Specialist in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.