Edmonds Community College

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EDMONDS COMMUNITY COLLEGE

Practice address

20000 68TH Ave W
Lynnwood, WA 98036-5999

Phone

(425) 640-1718

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EDMONDS COMMUNITY COLLEGEAs reported in NPPES

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

Authorized official

Name

Diana CherniskyNPI 1740917533

Title

Assistant Director, Counseling/Well

Phone

(425) 640-1718

Specialties & licenses 1

Addresses

Part of

Edmonds Community College

Locations

Practitioners 1

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.

• Diana Chernisky, M.A.ED., LMHC, NCC

  • Mental Health Counselor
  • Everett, WA
  • NPI 1740917533
  NPD Authorized official

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1831724574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365999",
            "telephone_number": "425-640-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365999",
            "telephone_number": "425-640-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS COMMUNITY COLLEGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDMONDS COMMUNITY COLLEGE",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "CHERNISKY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR, COUNSELING/WELL",
        "authorized_official_telephone_number": "425-640-1718"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenna Lynn Eckert, LMP
• Eden Hospice at Snohomish County, LLC (Eden Hospice)
• Sarah Eden, MOT
• Brian Edge, LMP
• Brynn Esterra Edmark
• Edmonds Family Care, PLLC
• Edmonds School District
• Edmonds School District
• Zoe R Edris, RN
• Edward H. Perkl, DDS, PS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.