Trinity Behavioral Health LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TRINITY BEHAVIORAL HEALTH LLC

Practice address

138 S 1St St Ste 6
Montesano, WA 98563-3623

Phone

(360) 964-4138

Fax

(360) 964-4143

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Elizabeth Mary Criner, SUDP

Title

Substance Use Disorder Professional

Phone

(360) 964-4138

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Trinity Recovery Services LLC Former legal business name

Locations

Practitioners 2

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

• Elizabeth Bryan, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Aberdeen, WA
  • NPI 1053775072
  NPD
• Aaron L Criner, CPC

  • Peer Specialist
  • Montesano, WA
  • NPI 1982365532
  NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1992331631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S 1ST ST STE 6",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633623",
            "telephone_number": "360-964-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S 1ST ST STE 6",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633623",
            "telephone_number": "360-964-4138",
            "fax_number": "360-964-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "CRINER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "SUBSTANCE USE DISORDER PROFESSIONAL",
        "authorized_official_telephone_number": "360-964-4138",
        "authorized_official_credential": "SUDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150615",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Recovery Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joann Surratt, LMT
• Erin Renae Swint, FNP-C
• Jamie Christina Talley
• Caleb Lee Thetford, LMHC, MHP, CMHS, MA
• Trilogy Counseling Collaborative
• Valu Drug Inc.
• Valu Drug Inc.
• Valu-Drugs Inc
• Teresa Vansant
• Alicia Nicole Vargas-Ridout

• Substance Use Disorder Rehabilitation Clinic/Center in Montesano, WA
• Providers in Montesano, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.