COLUMBIA RIVER MENTAL HEALTH SERVICES NPI 1669411377

NPI Information

NPI: 1669411377
Provider Name: COLUMBIA RIVER MENTAL HEALTH SERVICES
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: COLUMBIA RIVER ASSOCIATES
CLIA Number: 50D2256206
Address: 6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661
Phone: (360) 993-3000

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NPI Details

COLUMBIA RIVER MENTAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Vancouver, WA. COLUMBIA RIVER MENTAL HEALTH SERVICES NPI is 1669411377. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia River Associates.

The provider's business location address is:

6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661
Phone: (360) 993-3000
Fax: (360) 993-3047

The provider's authorized official is Victor Jackson .
The authorized official title is Chief Executive Officer and has the following contact phone number (360) 993-3000.

The CLIA number assigned to this NPI record is 50D2256206 - community clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 11/29/2023.

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
1	251S00000X	Community/Behavioral Health		138	WASHINGTON	No
2	261QM2800X	Clinic/Center	Methadone	06 0894 00	WASHINGTON	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	06 0894 00	WASHINGTON	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	067	WASHINGTON	Yes

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
1	1992775	MEDICAID	WASHINGTON
2	7117195	MEDICAID	WASHINGTON
3	06288	OTHER	WASHINGTON	REGENCE BCBS
4	1980705	MEDICAID	WASHINGTON
5	7035975	MEDICAID	WASHINGTON
6	9630716	MEDICAID	WASHINGTON
7	9234600	MEDICAID	WASHINGTON

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: 3/30/2025

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