SKOKOMISH INDIAN NATION
NPI 1528264561
Counselor - Addiction (Substance Use Disorder) in Shelton, WA

NPI Status: Active since June 26, 2007

Contact Information

N 561 TRIBAL CENTER RD
SHELTON, WA
ZIP 98584
Phone: (360) 426-7788
Fax: (360) 462-0082

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  • Organization
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Insurance
  • CLIA Number: 50D0703174
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 08-31-2026

About SKOKOMISH INDIAN NATION

This page provides the complete NPI Profile along with additional information for Skokomish Indian Nation, a provider established in Shelton, Washington operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1528264561 assigned on June 2007. The practitioner's primary taxonomy code is 101YA0400X with license number CP00002317 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Skokomish Indian Nation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Malynn Foster (Office Manager)

NPI
1528264561
Provider Name
SKOKOMISH INDIAN NATION
Entity Type
Organization
Location Address
N 561 TRIBAL CENTER RD SHELTON, WA 98584
Location Phone
(360) 426-7788
Location Fax
(360) 462-0082
Mailing Address
N 561 TRIBAL CENTER RD SHELTON, WA 98584
Mailing Phone
(360) 426-7788
Mailing Fax
(360) 462-0082
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
08-22-2020
Code Navigator

A Substance Abuse or Addiction Counselor like Skokomish Indian Nation advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

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 Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
CP00002317
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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

CP00000655 (WA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MALYNN FOSTER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(360) 426-7788

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
1991512MEDICAID (05)WA 

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
50D0703174
Facility Type
Federally Qualified Health Center
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
NICOLE M. GIBSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Skokomish Indian Nation 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.

Reviews for SKOKOMISH INDIAN NATION

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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.
1528264561
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548468512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 4 + 6 + 8 + 5 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1528264561 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528264561, enumerated in the NPI registry as an "organization" on June 26, 2007

The provider is located at N 561 Tribal Center Rd Shelton, Wa 98584 and the phone number is (360) 426-7788

This medical organization specializes in Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D0703174 for a "federally qualified health center" 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 June 26, 2007. 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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