Individual provider Active NPI

Carol Beineke McFall

  • Addiction (Substance Use Disorder) Counselor
  • Chehalis, WA
National Provider Identifier
1750147872
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61522942 Issued in WA
Practice address
151 N Market Blvd Ste C
Chehalis, WA 98532-2677
Phone
(360) 266-5585
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61522942 WA Primary

Addresses

Primary practice location

151 N Market Blvd Ste C
Chehalis, WA 98532-2677

Mailing address

607 Fir St
Hoquiam, WA 98550-1009
Phone (253) 433-5347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO61522942WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eugenia Center CurrentSince Mar 3, 2024 Accepting new patients

Locations

151 N Market Blvd
Ste C
Chehalis, WA 98532
Phone (360) 266-5585

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1750147872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 FIR ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985501009",
            "telephone_number": "253-433-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-266-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFALL",
        "first_name": "CAROL",
        "middle_name": "BEINEKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61522942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.