Columbia Basin Family Therapy, LLC

Primary specialty

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

Legal business name

COLUMBIA BASIN FAMILY THERAPY, LLC

Practice address

1619 W Octave St
Pasco, WA 99301-4045

Phone

(509) 845-6270

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Infante-Castro, MANPI 1871969931

Title

Owner/Clinical Supervisor

Phone

(509) 845-6270

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Infante-Castro, MA

  • Mental Health Counselor
  • Eltopia, WA
  • NPI 1871969931
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1962271239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALLA WALLA AVE",
            "city": "ELTOPIA",
            "state": "WA",
            "postal_code": "993309611",
            "telephone_number": "509-845-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W OCTAVE ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014045",
            "telephone_number": "509-845-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Walla Walla Ave",
            "address_purpose": "LOCATION",
            "city": "Eltopia",
            "state": "WA",
            "postal_code": "993309611",
            "country_code": "US",
            "telephone_number": "509-845-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA BASIN FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "INFANTE-CASTRO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "509-845-6270",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Cochrane
• Teah Cocozzo
• Jessica Lynn Cole, BSN, RN
• Ayla Collins, PHARM.D.
• Columbia Basin College
• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia Basin Health Association
• Columbia River Medical Center PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pasco, WA
• Providers in Pasco, 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 Dec 27, 2023; 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.