Tri-Star Behavioral Health

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TRI-STAR BEHAVIORAL HEALTH

Practice address

302 5TH St Ste 2
Clarkston, WA 99403-1801

Phone

(509) 780-3081

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Loren Raymond Caudle, MAC/CCNPI 1972943090

Title

Director

Phone

(509) 780-3081

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Loren Raymond Caudle, LPC

  • Professional Counselor
  • Moscow, ID
  • NPI 1972943090

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1982240875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 5TH ST STE 2",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031801",
            "telephone_number": "509-780-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 5TH ST STE 2",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031801",
            "telephone_number": "509-780-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-780-3081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAC/CC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972943090",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Thornton, LCPC
• Jessie Tibbits
• Amanda Elizabeth Todhunter, RDH
• Tons Hospitalist Services LTD
• Laureen M Trail, BS, CDP
• Tri-State Hospitalists
• Tri-State Memorial Hospital
• Tri-State Memorial Hospital
• Tri-State Memorial Hospital
• Tri-State Memorial Hospital

• Addiction (Substance Use Disorder) Counselor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.