Organization Active NPI

Northeast Washington Alliance Counseling

  • Community/Behavioral Health Agency
  • Colville, WA
National Provider Identifier
1215285945
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
602861188 Issued in WA
Legal business name
NORTHEAST WASHINGTON ALLIANCE COUNSELING
Practice address
165 E Hawthorne Avenue
Colville, WA 99114
Phone
(509) 684-4597
Fax
(509) 684-5286
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Carrie L Hawkins
Title
It Analyst
Phone
(509) 684-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 602861188 WA Primary

Addresses

Primary practice location

165 E Hawthorne Avenue
Colville, WA 99114

Mailing address

165 E Hawthorne Avenue
Colville, WA 99114
Phone (509) 684-4597

Other identifiers 1

IdentifierTypeStateIssuer
1991207MedicaidWA

Other names 1

  • Stevens County Counseling Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Stevens County Counseli8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1215285945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E HAWTHORNE AVENUE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "99114",
            "telephone_number": "509-684-4597",
            "fax_number": "509-684-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E HAWTHORNE AVENUE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "99114",
            "telephone_number": "509-684-4597",
            "fax_number": "509-684-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WASHINGTON ALLIANCE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "IT ANALYST",
        "authorized_official_telephone_number": "509-684-4597"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602861188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens County Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.