NPIMap

Organization Active NPI

Cascade Evaluation and Treatment Center

  • Mental Illness Community Based Residential Treatment Facility
  • Centralia, WA
National Provider Identifier
1760979298
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
60811831 Issued in WA
Legal business name
CASCADE EVALUATION AND TREATMENT CENTER
Practice address
3510 Steelhammer Dr
Centralia, WA 98531-4551
Phone
(360) 623-8020
Fax
(360) 623-7070
NPI assigned
Apr 19, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LEWIS COUNTY MENTAL HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Richard Stride, LMHC, PSYDNPI 1114099223
Title
Chief Executive Officer
Phone
(360) 330-9044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 60811831 WA Primary

Addresses

Primary practice location

3510 Steelhammer Dr
Centralia, WA 98531-4551

Mailing address

3510 Steelhammer Dr
Centralia, WA 98531-4551
Phone (360) 623-8020

National Provider Directory

National Provider Directory
Part of
Cascade Community Healthcare

Locations

3510 Steelhammer Dr
Centralia, WA 98531
Phone (360) 623-8020

Practitioners & affiliated clinicians

Practitioners 212

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1760979298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER DR",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314551",
            "telephone_number": "360-623-8020",
            "fax_number": "360-623-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 STEELHAMMER DR",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314551",
            "telephone_number": "360-623-8020",
            "fax_number": "360-623-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE EVALUATION AND TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS COUNTY MENTAL HEALTH ASSOCIATION",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STRIDE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "360-330-9044",
        "authorized_official_credential": "LMHC, PSYD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": "60811831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.