County of Kitsap

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNTY OF KITSAP

Practice address

614 Division St # Ms 23
Port Orchard, WA 98366-4614

Phone

(360) 337-7050

Fax

(360) 337-5721

NPI assigned

May 14, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie J. Lewis

Title

Regional Administrator

Phone

(360) 337-7050

Specialties & licenses 1

Addresses

Other names 1

• Salish Behavioral Health Administrative Service Organization Doing business as

Locations

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1467074393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS 23",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-7050",
            "fax_number": "360-337-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # MS 23",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-7050",
            "fax_number": "360-337-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF KITSAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "360-337-7050"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salish Behavioral Health Administrative Service Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costa & Dageenakis Family Dentistry PLLC
• Derek Costa, M.D.
• Marta Costa, DDS
• Caylee Michelle Coulter
• County of Kitsap
• Cassaundra Cox, MA607699564
• Tracy Kay Cozzolino
• Charles Seamus Crane, MASS.MA.60007096
• Creative Minds Inc.
• Linda Creech, LMT

• Community/Behavioral Health Agency in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.