Active NPI
Carlee Ann Myer, CAAR
- Peer Specialist
- Centralia, WA
National Provider Identifier
1154035855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CG61509360
- Practice address
- 3510 Steelhammer Dr
Centralia, WA 98531-4551 - Phone
- (360) 623-8020
- Fax
- (360) 237-5675
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CG61509360 | WA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3510 Steelhammer Dr
Centralia, WA 98531-4551
Mailing address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone (360) 330-9044
Other practice location 1
10015 Lakewood Dr SW
Lakewood, WA 98499-3838
Phone (855) 223-7123
Other names 1
- Carlee Churchel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61509360 | WA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Evaluation and Treatment Center | Past | Accepting new patients | |
| Cascade Community Healthcare | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Centralia, WA
- NPI 1619068624
-
- Mental Illness Community Based Residential Treatment Facility
- Centralia, WA
- NPI 1760979298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1154035855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2428 W REYNOLDS AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314554",
"telephone_number": "360-330-9044",
"fax_number": "360-237-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 STEELHAMMER DR",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314551",
"telephone_number": "360-623-8020",
"fax_number": "360-237-5675"
}
],
"practiceLocations": [
{
"address_1": "10015 Lakewood Dr SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984993838",
"country_code": "US",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYER",
"first_name": "CARLEE",
"middle_name": "ANN",
"credential": "CAAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": "CG61509360",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLEE",
"last_name": "CHURCHEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.