Organization Active NPI

Endeavor Mental Health, PLLC

  • Adult Mental Health Clinic/Center
  • Oak Harbor, WA
National Provider Identifier
1396332748
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ENDEAVOR MENTAL HEALTH, PLLC
Practice address
32650 State Route 20 Ste C209
Oak Harbor, WA 98277-2687
Phone
(360) 914-5744
NPI assigned
Dec 30, 2020
Last updated
Mar 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Hollye Hahn, ARNP, PMHNP-BCNPI 1437761988
Title
Owner
Phone
(360) 914-5744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

32650 State Route 20 Ste C209
Oak Harbor, WA 98277-2687

Mailing address

316 SE Pioneer Way Ste 106
Oak Harbor, WA 98277-5716

National Provider Directory

National Provider Directory

Locations

32650 State Route 20
Ste C209
Oak Harbor, WA 98277
Phone (360) 914-5744

740 SE Pioneer Way
Oak Harbor, WA 98277

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1396332748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SE PIONEER WAY STE 106",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE C209",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772687",
            "telephone_number": "360-914-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "HOLLYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-914-5744",
        "authorized_official_credential": "ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.