Klickitat County Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KLICKITAT COUNTY BEHAVIORAL HEALTH

Practice address

115 S Golden St
Goldendale, WA 98620-9123

Phone

(509) 773-2419

Fax

(509) 973-5921

NPI assigned

Nov 7, 2022

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

KLICKITAT COUNTYAs reported in NPPES

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

Authorized official

Name

Erinn Quinn, ARNP

Title

Director, Behavioral Health

Phone

(509) 773-2366

Specialties & licenses 15

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Klickitat County Health Department6 organizations share this tax ID, including this one

Part of

Klickitat County Health Department

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Klickitat County

  • Public Health or Welfare Agency
  • Goldendale, WA
  • NPI 1033310065
  NPD tax ID
• Klickitat County

  • Public Health or Welfare Agency
  • Goldendale, WA
  • NPI 1649462110
  NPD tax ID
• Klickitat County

  • Ambulatory Family Planning Facility
  • Goldendale, WA
  • NPI 1730371204
  NPD tax ID
• Klickitat County

  • Public Health or Welfare Agency
  • Goldendale, WA
  • NPI 1831478650
  NPD tax ID
• Klickitat County Health Department

  • Case Manager/Care Coordinator
  • Goldendale, WA
  • NPI 1477745941
  NPD tax ID

Locations

Practitioners 2

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.

• Tyrone Bryan

  • Mental Health Counselor
  • College Place, WA
  • NPI 1730633470

  Social Worker

  NPD (past)
• Marissa Corie Wynhoff, CPSS

  • Peer Specialist
  • Goldendale, WA
  • NPI 1164377008
  NPD (past)

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1427766757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S GOLDEN ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209123",
            "telephone_number": "509-773-2419",
            "fax_number": "509-973-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S GOLDEN ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209123",
            "telephone_number": "509-773-2419",
            "fax_number": "509-973-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLICKITAT COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLICKITAT COUNTY",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "ERINN",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "509-773-2366",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K-C Pharmacy Inc (Goldendale Pharmacy)
• Klickitat County
• Klickitat County
• Klickitat County
• Klickitat County
• Klickitat County Emergency Medical Services No 1
• Klickitat County Health Department
• Klickitat County Public Hospital Dist No 1 (Klickitat Valley Health)
• Klickitat County Public Hospital Dist No 1 (Klickitat Valley Health)
• Klickitat County Public Hospital District No 1 (Klickitat Valley Health)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Goldendale, WA
• Providers in Goldendale, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.