Meagan Melissa Basgal, CO61246259

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

305 Pacific Ave S Ste C
Kelso, WA 98626-1638

Phone

(360) 425-5378

Fax

(360) 425-5990

NPI assigned

Dec 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1497415889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PACIFIC AVE S STE C",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261638",
            "telephone_number": "360-425-5378",
            "fax_number": "360-425-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PACIFIC AVE S STE C",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261638",
            "telephone_number": "360-425-5378",
            "fax_number": "360-425-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASGAL",
        "first_name": "MEAGAN",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "CO61246259",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assisted Living Concepts, LLC
• Melissa Atkinson, SUDPT
• Victoria Austin
• Awakenings, Inc
• Cortney Ann Baker, CPC
• April Marie Baszler
• Kimberly Ann Bayston, MS/OTR
• Shania Lynne Benson
• Siena Benson
• Rebecca Leah Binion

• All providers in Kelso, WA
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.