Collaborative Behavioral Approach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COLLABORATIVE BEHAVIORAL APPROACH

Practice address

502 2ND Ave NE
Puyallup, WA 98372-5001

Phone

(253) 355-7428

Fax

(360) 832-1687

NPI assigned

Feb 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca M Shaver, MA, LMHC, MHPNPI 1548807225

Title

Owner

Phone

(253) 355-7428

Specialties & licenses 1

Addresses

Other names 1

• Collaborative Behavioral Approach LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Marie Shaver, LMHC, DVCS, MHP

  • Professional Counselor
  • Puyallup, WA
  • NPI 1548807225
  NPD Authorized official

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1154913812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380866",
            "telephone_number": "253-355-7428",
            "fax_number": "360-832-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 2ND AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725001",
            "telephone_number": "253-355-7428",
            "fax_number": "360-832-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE BEHAVIORAL APPROACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-355-7428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC, MHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Behavioral Approach LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Coleman
• Nikki L Coleman
• Ralph Coleman, MA
• Ted Coleman, M.D.
• Susan M Colkitt
• Collaborative Care &Wellness
• Nicole D Collett, MD
• Fern S Collins, RPH
• Kathy M Collins, PA-C
• Madelyn Collins, DPT

• Community/Behavioral Health Agency in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.