Evergreen Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVERGREEN COUNSELING CENTER

Practice address

205 8TH St
Hoquiam, WA 98550-2507

Phone

(360) 538-9227

Fax

(360) 532-8786

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chip Deitrich, CFO

Title

Cheif Financial Officer

Phone

(360) 538-9227

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306982434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502507",
            "telephone_number": "360-538-9227",
            "fax_number": "360-532-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502507",
            "telephone_number": "360-538-9227",
            "fax_number": "360-532-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEITRICH",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "360-538-9227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7067499",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Eng
• Nona Engers, RN
• Kristine D Enkerud, MA
• Tatiana Escalera
• Martha Evenmoe
• Family Practice Center of Grays Harbor
• Kayla Fennell
• Aaron Finley, PA-C
• Michele Flink, RN
• Lavonne Elizabeth Frankhouser

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.