NPIMap

Organization Active NPI

Columbia Valley Community Health

Doing business as CVCH Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Wenatchee, WA
National Provider Identifier
1346266152
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
CVCH Behavioral Health
CVCH Behavioral Medicine
CVCH Chelan Behavioral5 more in Other names
Practice address
504 Orondo Ave Ste a
Wenatchee, WA 98801-2830
Phone
(509) 662-1269
Fax
(509) 664-1037
NPI assigned
Jul 14, 2006
Reactivated
Jul 25, 2012
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA VALLEY COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
David Olson
Title
Ceo
Phone
(509) 664-3528

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 234 WA
Adult Mental Health Clinic/Center 261QM0850X 234 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 234 WA

Addresses

Primary practice location

504 Orondo Ave Ste a
Wenatchee, WA 98801-2830

Mailing address

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 662-4296

Other practice location 2

140 Easy Way
Wenatchee, WA 98801-8108
Phone (509) 662-4296

Other practice location 3

819 N Miller St Ste 1B
Wenatchee, WA 98801-6604
Phone (509) 888-1924

Other practice location 4

900 Eastmont Ave
E Wenatchee, WA 98802-6602
Phone (509) 884-9000

Other practice location 5

504 Orondo Ave
Wenatchee, WA 98801-2830
Phone (509) 662-1269

Other practice location 6

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-4306

Other practice location 7

933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8767

Other practice location 8

980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 662-6000

Other names 8

  • CVCH Behavioral Health Doing business as
  • CVCH Behavioral Medicine Doing business as
  • CVCH Chelan Behavioral Doing business as
  • CVCH Children's Behavioral Health Doing business as
  • Columbia Pediatrics Behavioral Doing business as
  • East Wenatchee Behavioral Doing business as
  • New Path Doing business as
  • Wenatchee Valley College Behavioral Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelan.behavioral.7@10575.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040227000599 WA Part B Supplier - Clinic/Group Practice 7113813874 Receives reassigned benefits from 99 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wenatchee, WA; East Wenatchee, WA; Chelan, WA
O20131010002084 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA
O20190801001653 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA
O20190806001674 WA Part A Provider - Federally Qualified Health Center (FQHC) 7113813874 Practice locations: Wenatchee, WA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1346266152. Details of each certification follow.

Federally qualified health center certification: CCN 501953

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
CVCH BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 10, 2013
Last certification
Sep 10, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
504 Orondo Ave
Ste a
Wenatchee, WA 98801-2830

Federally qualified health center certification: CCN 941052

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
CHILDREN'S BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 21, 2019
Last certification
Jun 21, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
140 Easy Way
Wenatchee, WA 98801-8108

Federally qualified health center certification: CCN 941054

Legal name
COLUMBIA VALLEY COMMUNITY HEALTH
Doing business as
NEW PATH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 8, 2019
Last certification
Aug 8, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 22, 1973 in WA
Enrollment address
819 N Miller St
Ste 1B
Wenatchee, WA 98801-6604

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Columbia Valley Community Health East Wenatchee Pharmacy

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

504 Orondo Ave
#A
Wenatchee, WA 98801
Phone (509) 662-1269

600 Orondo Ave
Wenatchee, WA 98801
Phone (509) 662-3860

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Interoperability endpoints

  • Direct secure messaging: chelan.behavioral.7@10575.direct.athenahealth.com

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diana Cobos Individual Corporate DirectorBoard Member Jul 7, 2023
Michael E Romine Individual Corporate OfficerCfo Mar 29, 2016
W-2 Managing EmployeeCfo Mar 29, 2016
Corporate OfficerChief Financial Officer Mar 29, 2016
Kristina Stepper Individual Corporate Director May 15, 2013
Kevin Brown Individual Corporate DirectorBoard Member Aug 24, 2022
Manuel Navarro Individual Corporate Officer Jul 1, 2022
W-2 Managing Employee Jun 24, 2018
Operational/Managerial ControlCeo Jul 1, 2022
Corporate OfficerCeo Jul 1, 2022
W-2 Managing EmployeeCeo Jul 2, 2019
Corporate OfficerCeo Jan 31, 2022
Dusti Mahoney Individual Corporate DirectorBoard Member Jan 21, 2020
Blake Edwards Individual Corporate OfficerBehavioral Health Director Jul 31, 2018
W-2 Managing EmployeeBehavioral Services Director Jul 31, 2018
W-2 Managing Employee Jul 31, 2018
Richard Clark Hansen Individual Corporate DirectorBoard Member Aug 24, 2022
Robert H Scott Individual Corporate Director Mar 1, 1998
Danielle Noell Individual Corporate OfficerDirector of Quality Oct 24, 2011
W-2 Managing EmployeeDirector of Quality Oct 24, 2011
W-2 Managing Employee Oct 24, 2011
Jeffery Hinckley Individual Corporate OfficerDental Director Nov 1, 2018
W-2 Managing Employee Nov 1, 2018
W-2 Managing EmployeeDental Director Nov 1, 2018
Felipe Gutierrez Individual Corporate OfficerCmo Nov 16, 2021
W-2 Managing EmployeeCmo Nov 16, 2021
W-2 Managing EmployeeMD; Nov 16, 2021
Sasha Sleiman Individual Corporate DirectorBoard Member Aug 1, 2021
Columbia Valley Community Health Organization, Wenatchee, WA Non-profit Operational/Managerial Control Feb 22, 1973
Operational/Managerial Control Jul 20, 2015
Operational/Managerial Control Jul 1, 2019
Loly Larson Individual Corporate Director Apr 1, 1990
Michael Machado Individual Corporate DirectorBoard Member Sep 12, 2017
Corporate Director Sep 12, 2017
Summer Kelley Individual W-2 Managing EmployeeController Jun 5, 2019
Corporate OfficerCmo Jul 23, 2024
W-2 Managing EmployeeCmo Jun 5, 2019
Susan E Caverly Individual W-2 Managing EmployeeMD; Mar 21, 2023
Yvonne Mayorga Individual Corporate DirectorBoard Member May 29, 2024

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbia Valley Community HealthChelan, WA, CCN 501883 Federally qualified health center Operational/Managerial Control Jun 1, 1975
East Wenatchee MedicalEast Wenatchee, WA, CCN 501936 Federally qualified health center Operational/Managerial Control (100%) Apr 13, 2012
Wenatchee Valley College ClinicWenatchee, WA, CCN 941041 Federally qualified health center Operational/Managerial Control Jan 2, 2018
Hope HealthWenatchee, WA, CCN 941046 Federally qualified health center Operational/Managerial Control Jan 8, 2019
Lincoln Elementary School ClinicWenatchee, WA, CCN 941053 Federally qualified health center Operational/Managerial Control Sep 5, 2017
Columbia Valley Community HealthEast Wenatchee, WA, CCN 501030 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 1975
980 Psychiatric MedicalEast Wenatchee, WA, CCN 501066 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 1975

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1346266152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "address_2": "STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000",
            "fax_number": "509-664-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 ORONDO AVE STE A",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012830",
            "telephone_number": "509-662-1269",
            "fax_number": "509-664-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "509-662-4296",
            "fax_number": "509-664-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Easy Way",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988018108",
            "country_code": "US",
            "telephone_number": "509-662-4296",
            "fax_number": "509-664-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 N Miller St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988016604",
            "country_code": "US",
            "telephone_number": "509-888-1924",
            "fax_number": "509-888-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "E Wenatchee",
            "state": "WA",
            "postal_code": "988026602",
            "country_code": "US",
            "telephone_number": "509-884-9000",
            "fax_number": "509-884-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Orondo Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012830",
            "country_code": "US",
            "telephone_number": "509-662-1269",
            "fax_number": "509-664-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Orondo Ave",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-4306",
            "fax_number": "509-664-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Red Apple Rd",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988013370",
            "country_code": "US",
            "telephone_number": "509-663-8767",
            "fax_number": "509-663-1421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988026602",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA VALLEY COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA VALLEY COMMUNITY HEALTH",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "deactivation_date": "2012-06-21",
        "reactivation_date": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-664-3528"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "234",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "234",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelan.behavioral.7@10575.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "140 Easy Way",
            "city": "Wenatchee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988018108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CVCH Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVCH Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVCH Chelan Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVCH Children's Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbia Pediatrics Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Wenatchee Behavioral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Path",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wenatchee Valley College Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.