NPIMap

Organization Active NPI

Confederated Tribes of the Colville Reservation

Doing business as Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nespelem, WA
National Provider Identifier
1609094838
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1980812 Issued in WA
Legal business name
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Doing business as
Mental Health Services
Practice address
21 Colville Street
Nespelem, WA 99155-0150
Phone
(509) 634-2783
Fax
(509) 634-2781
NPI assigned
Apr 23, 2007
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Amy Church
Title
Revenue Cycle Manager
Phone
(509) 634-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1980812 WA Primary

Addresses

Primary practice location

21 Colville Street
Nespelem, WA 99155-0150

Mailing address

PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2783

Other identifiers 1

IdentifierTypeStateIssuer
1980812MedicaidWA

Other names 1

  • MENTAL HEALTH SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000740 TX Part B Supplier - Clinic/Group Practice 1254332505 Receives reassigned benefits from 2 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Inchelium, WA; Omak, WA; Nespelem, WA; Keller, WA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Colville Reservation16 organizations share this tax ID, including this one
Part of
Confederated Tribes of the Colville Reservation

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1609094838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2783",
            "fax_number": "509-634-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLVILLE STREET",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "991550150",
            "telephone_number": "509-634-2783",
            "fax_number": "509-634-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE COLVILLE RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBES OF THE COLVILLE RESERVATION",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "509-634-2783"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "1980812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980812",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENTAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MENTAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nespelem, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.