NPIMap

Organization Active NPI

Quinault Indian Nation

Doing business as Quinault Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aberdeen, WA
National Provider Identifier
1881320711
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
QUINAULT INDIAN NATION
Doing business as
Quinault Wellness Center
Practice address
511 W Heron Street
Aberdeen, WA 98520-5929
Phone
(564) 544-1950
NPI assigned
Jul 25, 2022
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jason Gale HalsteadNPI 1447937719
Title
Coo
Phone
(564) 544-1930

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Public Health & General Preventive Medicine Physician 2083P0901X NU
Methadone Clinic 261QM2800X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

511 W Heron Street
Aberdeen, WA 98520-5929

Mailing address

511 W Heron St
Aberdeen, WA 98520-6022
Phone (564) 544-1950

Other names 1

  • Quinault Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Opioid treatment program
Medicare-enrolled since Dec 11, 2023

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240216002038 TX Part B Supplier - Opioid Treatment Program (Otp) 2860836988 Practice locations: Aberdeen, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Quinault Indian Nation

    dba Quinault Wellness Center

    • Student in an Organized Health Care Education/Training Program
    • Aberdeen, WA
    • NPI 1134842636

    2860836988

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Quinault Indian Nation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881320711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W HERON ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206022",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W HERON STREET",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985205929",
            "telephone_number": "564-544-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINAULT INDIAN NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "564-544-1930"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quinault Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quinault Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.