Individual provider Active NPI

Catherine Damin

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1164970455
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60864160 Issued in WA
Practice address
201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873
Phone
(360) 729-8383
Fax
(360) 729-3534
NPI assigned
Sep 14, 2016
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2016031755 MO
Mental Health Counselor 101YM0800X LH60864160 WA Primary

Addresses

Primary practice location

201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873

Mailing address

9100 Overland PLZ
Overland, MO 63114-6123
Phone (314) 744-9027

Other practice location 1

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 256-2000

Other practice location 2

9100 Overland Plz
Overland, MO 63114-6123
Phone (314) 744-9027

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240104000960 WA Practitioner - Mental Health Counselor 6800247867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

505 NE 87TH Ave
Vancouver, WA 98664-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016031755MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 1, 2024 Accepting new patients
Peacehealth CurrentSince Jan 1, 2024 Accepting new patients
Peacehealth CurrentSince Jan 1, 2024 Accepting new patients
Imagine Me Counseling, LLC Past Accepting new patients

Locations

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

201 NE Park Plaza Dr
Ste 145
Vancouver, WA 98684
Phone (360) 729-8383

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164970455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 OVERLAND PLZ",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631146123",
            "telephone_number": "314-744-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 145",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845873",
            "telephone_number": "360-729-8383",
            "fax_number": "360-729-3534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-256-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Overland Plz",
            "address_purpose": "LOCATION",
            "city": "Overland",
            "state": "MO",
            "postal_code": "631146123",
            "country_code": "US",
            "telephone_number": "314-744-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMIN",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016031755",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60864160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.