Exceptional Foresters, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EXCEPTIONAL FORESTERS, INC.

Practice address

2009 W Railroad Ave
Shelton, WA 98584-7812

Phone

(360) 426-0077

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Blake Chard

Title

Executive Director

Phone

(360) 426-0077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1396215752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847812",
            "telephone_number": "360-426-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 W RAILROAD AVE",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847812",
            "telephone_number": "360-426-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL FORESTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "CHARD",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-426-0077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Emrys Erickson, LMT
• Erin Martinache Licsw, LLC
• Damon Joseph Ernst, DC
• Jessica Evans, COTA/L
• Evergreen at Shelton, L.L.C.
• Tina Fenn
• James P Fernandes, MA , MHP, CAAR
• Wilfredo Fernandez-Fonseca, LMHCA
• Rachel Field-Borodin, RN
• Fir Lane Care LLC

• Case Management Agency in Shelton, WA
• Providers in Shelton, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.