Evergreen Treatment Services Unit 5

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

34 1119 00 Issued in WA

Legal business name

EVERGREEN TREATMENT SERVICES UNIT 5

Practice address

6700 Martin Way E
Olympia, WA 98516-6502

Phone

(360) 413-6910

Fax

(360) 413-9026

NPI assigned

Jan 25, 2007

Organization subpart

Yes

Parent organization

EVERGREEN TREATMENT SERVICESAs reported in NPPES

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

Authorized official

Name

Margaret Carney

Title

Executive Director

Phone

(206) 223-3644

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Evergreen Treatment Services Unit 3

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Elliott, CP61279999

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
  • NPI 1659929719
  NPD (past)
• Stephanie Holland, RN

  • Registered Nurse
  • Olympia, WA
  • NPI 1831883933
  NPD (past)
• Jamie Anne Million, SUDP-T

  • Student in an Organized Health Care Education/Training Program
  • Olympia, WA
  • NPI 1093592917
  NPD (past)
• Crystal Anne Morgan, CP.61508035

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
  • NPI 1194480012
  NPD (past)
• Betianne Townshend, CPC

  • Counselor
  • Olympia, WA
  • NPI 1598417115
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1770638983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 AIRPORT WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341618",
            "telephone_number": "206-223-3644",
            "fax_number": "206-223-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985166502",
            "telephone_number": "360-413-6910",
            "fax_number": "360-413-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN TREATMENT SERVICES UNIT 5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN TREATMENT SERVICES",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-223-3644"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "WA",
            "license": "34 1119 00",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994243",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8008203",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Family Medicine, Inc., P.S.
• Evergreen Family Practice, PLLC
• Evergreen Integrative Psychiatry PLLC
• Evergreen Psychological Services
• Evergreen Treatment Services (South Sound Clinic)
• Ewh Inc (Eastside Health Care)
• Michele D Ewing
• Extendicare Homes, Inc. (Evergreen Nursing & Rehabilitation Center)
• Eye Institute of Olympia Inc. P.S.
• Eyes on Pearle, PLLC

• Methadone Clinic in Olympia, WA
• Providers in Olympia, WA by specialty
• Methadone Clinic in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.