Counseling Centers of North Puget Sound

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

601249571 Issued in WA

Legal business name

COUNSELING CENTERS OF NORTH PUGET SOUND

Practice address

1306 Lake View Ave
Snohomish, WA 98290-1844

Phone

(360) 568-8737

Fax

(360) 568-1654

NPI assigned

Mar 6, 2007

Organization subpart

No

Name

Douglas P Chandler, L.I.C.S.WNPI 1952493306

Title

Executive Director

Phone

(360) 708-9595

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Chandler, MSW

  • Clinical Social Worker
  • Mount Vernon, WA
  • NPI 1952493306

  WA

  Medicare reassignment Care Compare group Authorized official
• Zachary Brisson, PSYD

  • Counseling Psychologist
  • Snohomish, WA
  • NPI 1538878566

  WA

  Medicare reassignment Care Compare group NPD
• Cheryl Ann Iler, LMHC

  • Counselor
  • Snohomish, WA
  • NPI 1902260177

  WA

  Medicare reassignment Care Compare group NPD
• Hillary Dyan Russell, MA, RC

  • Clinical Psychologist
  • Tulalip, WA
  • NPI 1881853794

  WA

  Medicare reassignment Care Compare group NPD
• Constance M Stevenson

  • Professional Counselor
  • Longview, WA
  • NPI 1306382957

  Professional, WA

  Medicare reassignment Care Compare group NPD
• Clayton Peet, LSCSW, LCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1073560843

  WA

  Medicare reassignment Care Compare group NPD
• Barbara J Brown, MSW, LICSW

  • Clinical Social Worker
  • Bothell, WA
  • NPI 1689792400
  NPD (past)
• Teresa L Clement, LMHC

  • Mental Health Counselor
  • Snohomish, WA
  • NPI 1124469457
  NPD (past)
• Mary Jo Greenway, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
  • NPI 1881775666
  NPD (past)
• Constance Rae Guy

  • Mental Health Counselor
  • Ferndale, WA
  • NPI 1033404058
  NPD (past)
• Shari Syrdal Jaques, ARNP MN

  • Nurse Practitioner
  • Lake Forest Park, WA
  • NPI 1710068598
  NPD (past)
• Sharon A March, MSW

  • Clinical Social Worker
  • Everett, WA
  • NPI 1609962257
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

• Presbyterian Counseling Service North, A Samaritan Counseling Center Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2024.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1376673566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306B LAKE VIEW AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 LAKE VIEW AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTERS OF NORTH PUGET SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-708-9595",
        "authorized_official_credential": "L.I.C.S.W"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "601249571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "PR2525",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH GROUP NUMBER",
            "identifier": "002915001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Counseling Service North, A Samaritan Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Presbyterian Counseling Service North, A Samaritan Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Michael Cloakey, DC
• Kailey Coats, LMHCA
• Annylysse Cojocaru
• Leigh Renee Colton
• Sherrie June Cooper, MS SPL CCC
• Nasreen E Coury, RPH
• Tyler Anthony Cox
• Holly Crawford
• Shannon Laurenne Crossman
• Sally Anne Crouse

• All providers in Snohomish, WA
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.