DAYBREAK VANCOUVER OUTPATIENT
NPI 1003199712
Counselor - Mental Health in Vancouver, WA
NPI Status: Active since September 20, 2011
Contact Information
11818 SE MILL PLAIN BLVD
SUITE 307
VANCOUVER, WA
ZIP 98684
Phone: (360) 750-9635
Fax: (360) 334-9541
- Organization
- Counselor
- Mental Health
About DAYBREAK VANCOUVER OUTPATIENT
This page provides the complete NPI Profile along with additional information for Daybreak Vancouver Outpatient, a provider established in Vancouver, Washington operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1003199712 assigned on September 2011. The practitioner's primary taxonomy code is 101YM0800X with license number 06155400 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Daybreak Vancouver Outpatient. The authorized official of this NPI record is Mr. Thomas Russell (Ceo)
- NPI
- 1003199712
- Provider Legal Name
- DAYBREAK YOUTH SERVICES
- Other Organization Name
- DAYBREAK VANCOUVER OUTPATIENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11818 SE MILL PLAIN BLVD SUITE 307 VANCOUVER, WA 98684
- Location Phone
- (360) 750-9635
- Location Fax
- (360) 334-9541
- Mailing Address
- 960 E 3RD AVE SPOKANE, WA 99202
- Mailing Phone
- (509) 444-7033
- Mailing Fax
- (360) 334-9541
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-20-2011
- Last Update Date
- 09-22-2022
- Code Navigator
A mental health counselor like Daybreak Vancouver Outpatient provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 06155400
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 06155400 (WA) |
| 2 | 251B00000X | Agencies | Case Management | 06155400 (WA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2015313 | MEDICAID (05) | WA | |
| 155400 | OTHER (01) | WA | WA STATE DBHR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 1 | 9 | 9 | 7 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 2 | 9 | 18 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 2 + 9 + 1 + 8 + 7 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1003199712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104905165 | DR. JASON DOZARK D.C. Individual | Chiropractor | 11818 SE MILL PLAIN BLVD #408 VANCOUVER, WA 98684 (360) 254-0616 |
| 1457560211 | MS. REBECCA OGDEE LMP Individual | Massage Therapist | 11818 SE MILL PLAIN BLVD SUITE #408 VANCOUVER, WA 98684 (360) 254-0616 |
| 1124237888 | JONATHAN WHETSELL LMP Individual | Massage Therapist | 11818 SE MILL PLAIN BLVD SUITE 408 VANCOUVER, WA 98684 (360) 944-6692 |
| 1346424868 | MRS. JANELLE DOZARK LMP Individual | Massage Therapist | 11818 SE MILL PLAIN BLVD #408 VANCOUVER, WA 98684 (360) 254-0616 |
| 1699076448 | GENE W. SCHEEL DMD PS Organization | Dentist | 11818 SE MILL PLAIN BLVD SUITE 106 VANCOUVER, WA 98684 (360) 896-5150 |
| 1255694428 | DOZARK HEALTH AND WELLNESS INC Organization | Chiropractor | 11818 SE MILL PLAIN BLVD SUITE 408 VANCOUVER, WA 98684 (360) 254-0616 |
| 1609249275 | KANUKAYI JACOBSEN Individual | Student in an Organized Health Care Education/Training Program | 11818 SE MILL PLAIN BLVD 213 VANCOUVER, WA 98684 (360) 836-4386 |
| 1801346440 | ANDREA BELLEISLE BA, CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 11818 SE MILL PLAIN BLVD VANCOUVER, WA 98684 (360) 750-9635 |
| 1336577881 | HEALTHY IN HEALTHCARE Organization | Massage Therapist | 11818 SE MILL PLAIN BLVD SUITE 401 VANCOUVER, WA 98684 (360) 601-6844 |
| 1841732849 | BRITNEY SCANLAN MA60162436 Individual | Specialist | 11818 SE MILL PLAIN BLVD SUITE 401 VANCOUVER, WA 98684 (360) 949-3172 |
| 1558812156 | JULIA KOSTIN BS Individual | Counselor (Addiction (Substance Use Disorder)) | 11818 SE MILL PLAIN BLVD VANCOUVER, WA 98684 (360) 984-6084 |
| 1801933932 | CDM SERVICES Organization | Home Health | 11818 SE MILL PLAIN BLVD SUITE 415 VANCOUVER, WA 98684 (360) 896-9695 |
| 1699226050 | MS. CARRIE OLIVER LSWAIC, SUDP Individual | Counselor (Mental Health) | 11818 SE MILL PLAIN BLVD SUITE #307 VANCOUVER, WA 98684 (360) 750-9635 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003199712, enumerated in the NPI registry as an "organization" on September 20, 2011
The provider is located at 11818 Se Mill Plain Blvd Suite 307 Vancouver, Wa 98684 and the phone number is (360) 750-9635
This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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