LIFELINE CONNECTIONS HEALTH HOMES
NPI 1396257101
Community/Behavioral Health in Vancouver, WA
NPI Status: Active since November 02, 2017
Contact Information
1601 E FOURTH PLAIN BLVD BLDG 17
SUITE A212
VANCOUVER, WA
ZIP 98661
Phone: (360) 397-8246
Fax: (360) 397-8250
- Organization
- Community/Behavioral Health
- CLIA Number: 50D2089819
- CLIA Cert. Type: Other - DRUG TREATMENT
- CLIA Exp. Date: 04-04-2028
About LIFELINE CONNECTIONS HEALTH HOMES
This page provides the complete NPI Profile along with additional information for Lifeline Connections Health Homes, a provider established in Vancouver, Washington operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1396257101 assigned on November 2017. The practitioner's primary taxonomy code is 251S00000X with license number CO.60429455 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kinh Reynolds (Cfo)
- NPI
- 1396257101
- Provider Name
- LIFELINE CONNECTIONS HEALTH HOMES
- Entity Type
- Organization
- Location Address
- 1601 E FOURTH PLAIN BLVD BLDG 17 SUITE A212 VANCOUVER, WA 98661
- Location Phone
- (360) 397-8246
- Location Fax
- (360) 397-8250
- Mailing Address
- PO BOX 1678 VANCOUVER, WA 98668
- Mailing Phone
- (360) 397-8246
- Mailing Fax
- (360) 397-8250
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2017
- Last Update Date
- 03-01-2023
- Code Navigator
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- CO.60429455
- License State
- WA
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2089819
- Facility Type
- Other - DRUG TREATMENT
- Certificate Effective Date
- January 08, 2015
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- MARIKA WOLFE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lifeline Connections Health Homes to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 3 | 9 | 6 | 2 | 5 | 7 | 1 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 4 | 5 | 14 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 4 + 5 + 1 + 4 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1396257101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407981095 | KIM L CARNAHAN LEWIS ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 SUITE B222 VANCOUVER, WA 98661 (360) 397-8484 |
| 1407080021 | MR. DANIEL FRANK CROSLAND CDP Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 B222 VANCOUVER, WA 98661 (360) 397-8484 |
| 1427288224 | MS. JEAN MARIE HARPER CDP Individual | Counselor (Professional) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8246 |
| 1316295439 | MACKENZIE L DUNHAM MSW, CDPT Individual | Social Worker | 1601 E FOURTH PLAIN BLVD BLDG 17 SUITE A212 VANCOUVER, WA 98661 (360) 397-8246 |
| 1649592726 | JERROD RAY MEIREIS CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 SUITE B222 VANCOUVER, WA 98661 (360) 397-8484 |
| 1912127002 | CLARK COUNTY PUBLIC HEALTH Organization | Preventive Medicine (Public Health & General Preventive Medicine) | 1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR VANCOUVER, WA 98661 (360) 397-8473 |
| 1457571549 | CLARK COUNTY PUBLIC HEALTH Organization | Preventive Medicine (Public Health & General Preventive Medicine) | 1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR VANCOUVER, WA 98661 (360) 397-8473 |
| 1790905883 | CLARK COUNTY PUBLIC HEALTH Organization | Preventive Medicine (Public Health & General Preventive Medicine) | 1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR VANCOUVER, WA 98661 (360) 397-8473 |
| 1184072829 | KRISTI CATRON CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8246 |
| 1043748270 | KELLY ANN BLANCHARD RN Individual | Registered Nurse (Community Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8000 |
| 1568992949 | MARY THERESA GLUZINSKI Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1144744509 | BRYAN WARREN Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 690-0005 |
| 1497272686 | TRACEY LYNN ABREGO Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1396263414 | TATIANA DAWN VIERA Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1124546247 | MELISSA ANNE SPAULDING Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1730699828 | EMILY-JOY MARIE PARR Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1679083174 | MANDY RENEE RESENDIZ Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1528571783 | TESSA WARGO Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1790292597 | ADRIENNE DIERS Individual | Counselor (Mental Health) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (360) 397-8484 |
| 1033626726 | TAYLOR MICHELLE FAULK CDPT Individual | Counselor (Addiction (Substance Use Disorder)) | 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 (800) 604-0025 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396257101, enumerated in the NPI registry as an "organization" on November 02, 2017
The provider is located at 1601 E Fourth Plain Blvd Bldg 17 Suite A212 Vancouver, Wa 98661 and the phone number is (360) 397-8246
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider's CLIA number is 50D2089819 for a "other - drug treatment" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 02, 2017. 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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