Cascade Relationship and Counseling Center LLP

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CASCADE RELATIONSHIP AND COUNSELING CENTER LLP

Practice address

1511 26TH St
Everett, WA 98201-2907

Phone

(425) 636-3133

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Jamie Lee Star de Anda, LMHC, HT

Title

Ceo

Phone

(425) 636-3133

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1730645896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 26TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012907",
            "telephone_number": "425-636-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 26TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012907",
            "telephone_number": "425-636-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE RELATIONSHIP AND COUNSELING CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "STAR DE ANDA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-636-3133",
        "authorized_official_credential": "LMHC, HT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881905123",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043683162",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Rehabilitation
• Cascade Rehabilitation Associates, LLC
• Cascade Rehabilitation Associates, PLLC
• Cascade Rehabilitation Associates, PLLC
• Cascade Rehabilitation, LLC
• Cascade Retina PLLC
• Shelby L Case, RDH, MSDH, OMT
• John Casey, MD
• Sharon Jeanne Casey, BS, ADN, RN
• Vegas Grace Casey

• Adult Mental Health Clinic/Center in Everett, WA
• Providers in Everett, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.