County of Adams
Organization Active NPI Community/Behavioral Health Agency · Othello, WA
NPI 1407855653 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1407855653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF ADAMS
- Practice address
- 425 E Main St Ste 600
Othello, WA 99344-1146 - Phone
- (509) 488-4074
- Fax
- (509) 488-0166
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Vicki Guse
- Title
- Administrator
- Phone
- (509) 488-4074
Corporate family (same tax ID) 2
Practitioners 40
-
John Paul Bomar, REGISTERED COUNSELOR
-
Leslae Anne Brewer, HIS
-
Connie Carrigan, M.A.
-
Patrice A Dial, COUNSELOR
-
Amanda Rae Garza, MA, LMHC
-
Jennifer D Gomez, COUNSELOR-REGISTERED
-
Maria E Hines, REGISTERED COUNSELOR
-
Aaron Ross Jones, MSW
-
Maria A Kelly, REGISTERED COUNSELOR
-
Philip Charles Lohman IV, LSWAIC
-
Esmeralda C Mendez, CG61416144
-
Jennifer Montemayor, PEER COUNSELOR
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0866942 | Adams County Health Department | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
- Tax ID family
- County of Adams
Locations
108 W Main Ave
Ritzville, WA 99169
Phone (509) 659-3315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Peer Specialist |
175T00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
425 E Main St Ste 600
Othello, WA 99344-1146
Mailing address
425 E Main St Ste 600
Othello, WA 99344-1146
Phone (509) 488-4074
Other practice location 1
108 W Main Ave
Ritzville, WA 99169-1408
Phone (509) 488-5611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1981745 | Medicaid | WA | |
| 1990589 | Medicaid | WA |
Other names
- Adams County Integrated Health Care Services
- Community Counseling Services
Other providers in Othello, WA
- Columbia Basin Health Association
- Columbia Basin Health Association
- Columbia Basin Health Association
- Columbia Basin Health Association
- Annie M Coronado
- County of Adams
- County of Adams
- Brent Darrington
- Patrice A Dial
- Catherine Dinglasan
All providers in Othello, WA · Community/Behavioral Health Agency in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.