NOOKSACK CENTRAL MANAGEMENT SYSTEM NPI 1578778189

NPI Information

  • NPI: 1578778189
  • Provider Name: NOOKSACK CENTRAL MANAGEMENT SYSTEM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Other Name: THE NOOKSACK HOPE BEHAVIORAL HEALTH PROGRAM
  • Address: 6760 MISSION RD
    EVERSON, WA
    ZIP 98247
  • Phone: (360) 966-4150

Map and Directions

Get Directions

NPI Details

NOOKSACK CENTRAL MANAGEMENT SYSTEM is a mental health counselor in Everson, WA. NOOKSACK CENTRAL MANAGEMENT SYSTEM NPI is 1578778189. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Nooksack Hope Behavioral Health Program.

The provider's business location address is:

6760 MISSION RD
EVERSON, WA
ZIP 98247-749
Phone: (360) 966-4150
Fax: (360) 966-4111

The provider's authorized official is Eric R Davenport .
The authorized official title is Governmental Service Executive and has the following contact phone number (360) 592-5176.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11981018MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI