BLUE WATER BEHAVIORAL CONSULTING LLC NPI 1811311517

NPI Information

  • NPI: 1811311517
  • Provider Name: BLUE WATER BEHAVIORAL CONSULTING LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 851 SE PIONEER WAY
    201
    OAK HARBOR, WA
    ZIP 98277
  • Phone: (360) 333-5684

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NPI Details

BLUE WATER BEHAVIORAL CONSULTING LLC is a community behavioral health in Oak Harbor, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BLUE WATER BEHAVIORAL CONSULTING LLC NPI is 1811311517. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 SE PIONEER WAY
201
OAK HARBOR, WA
ZIP 98277
Phone: (360) 333-5684
Fax: (360) 230-3272

The provider's authorized official is Rachel Danielle Wagner .
The authorized official title is Ceo and has the following contact phone number (360) 333-5684.

The enumeration date for this NPI number is 2/16/2014 and was last updated on 7/30/2020.

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
1103K00000XBehavior AnalystNo
2251S00000XCommunity/Behavioral HealthYes
3251S00000XCommunity/Behavioral Health1-10-7191No

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
12041449MEDICAIDWASHINGTON

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

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