Organization Active NPI

Ed Behavioral Health Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vancouver, WA
National Provider Identifier
1386293850
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ED BEHAVIORAL HEALTH SOLUTIONS LLC
Practice address
4000 NE 109TH Ave Unit 86
Vancouver, WA 98682-5720
Phone
(425) 314-5410
NPI assigned
Sep 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Authorized official

Name
Heather D Hernandez, LMHC
Title
Owner
Phone
(425) 314-5410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4000 NE 109TH Ave Unit 86
Vancouver, WA 98682-5720

Mailing address

4000 NE 109TH Ave Unit 86
Vancouver, WA 98682-5720
Phone (425) 314-5410

Other names 1

  • Behavioral Health Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1386293850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NE 109TH AVE UNIT 86",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825720",
            "telephone_number": "425-314-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 NE 109TH AVE UNIT 86",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825720",
            "telephone_number": "425-314-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED BEHAVIORAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-314-5410",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.