Teresa Rae

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

221 E Washington Ave
Dayton, WA 99328-1317

Phone

(509) 382-1164

Fax

(509) 382-1166

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Mountain Counseling of Columbia CountyGroup PAC ID 5092779470, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blue Mountain Counseling of Columbia County

  • Adult Mental Health Clinic/Center
  • Dayton, WA
  • NPI 1922040526
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1164088464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E WASHINGTON AVE",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281317",
            "telephone_number": "509-382-1164",
            "fax_number": "509-382-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E WASHINGTON AVE",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281317",
            "telephone_number": "509-382-1164",
            "fax_number": "509-382-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normond J Passmore, DDS
• Caitlin J Patterson
• Bruce Wayne Pollard, LICSW
• Jennifer Megan Price
• Jennifer Lynn Purswell, NCC, QMHP
• Sara K Ragsdale, DO
• Colette Richman, RPH
• Rivers Walk Assisted Living
• Kenneth R Roughton, PHD
• Kaylyn Rutherford, DNP

• Case Manager/Care Coordinator in Dayton, WA
• Providers in Dayton, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.