NPIMap

Organization Active NPI

Blue Mountain Counseling of Columbia County

Doing business as Blue Mountain Counseling

  • Adult Mental Health Clinic/Center
  • Dayton, WA
National Provider Identifier
1922040526
Registry record updated Feb 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
G8809077 Issued in WA
Legal business name
BLUE MOUNTAIN COUNSELING OF COLUMBIA COUNTY
Doing business as
Blue Mountain Counseling
Practice address
221 E Washington Ave
Dayton, WA 99328-1317
Phone
(509) 382-1164
Fax
(509) 382-1166
NPI assigned
Jun 11, 2006
Last updated
Feb 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2014

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

Authorized official

Name
Dimita Warren, BANPI 1265910236
Title
Director
Phone
(509) 382-1164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 223 WA
Adult Mental Health Clinic/Center 261QM0850X G8809077 WA Primary

Addresses

Primary practice location

221 E Washington Ave
Dayton, WA 99328-1317

Mailing address

221 E Washington Ave
Dayton, WA 99328-1317
Phone (509) 382-1164

Other names 1

  • Blue Mountain Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000242 WA Part B Supplier - Clinic/Group Practice 5092779470 Receives reassigned benefits from 3 practitioners
Practice locations: Dayton, WA

National Provider Directory

National Provider Directory
Tax ID family
Blue Mountain Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391299200000",
    "number": "1922040526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E WASHINGTON AVE",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281317",
            "telephone_number": "509-382-1164",
            "fax_number": "509-382-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E WASHINGTON AVE",
            "city": "DAYTON",
            "state": "WA",
            "postal_code": "993281317",
            "telephone_number": "509-382-1164",
            "fax_number": "509-382-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN COUNSELING OF COLUMBIA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-02-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "DIMITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-382-1164",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "223",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "G8809077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; 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.