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DAYBREAK VANCOUVER OUTPATIENT
NPI 1003199712
Counselor - Mental Health in Vancouver, WA

Active since September 20, 2011
11818 SE MILL PLAIN BLVD, SUITE 307, VANCOUVER, WA 98684(360) 750-9635(360) 334-9541 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Feb 5, 2020, Jul 23, 2018 and 1 more (4 updates tracked since 2017).

About Daybreak Vancouver Outpatient NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAYBREAK VANCOUVER OUTPATIENT (NPI 1003199712) is a healthcare organization registered as a mental health in Vancouver, Washington and active in the NPI registry since September 2011. The organization lists Thomas Russell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003199712
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDAYBREAK YOUTH SERVICES
Location Address11818 SE MILL PLAIN BLVD, SUITE 307Vancouver, WA 98684
Mailing Address960 E 3rd AveSpokane, WA 99202-2241 · (509) 444-7033 · Fax (509) 927-1851
Phone(360) 750-9635
Fax(360) 334-9541
Organization SubpartYes
Authorized OfficialThomas RussellCeo · (509) 444-7033
Enumeration DateSeptember 20, 2011
Last NPPES UpdateSeptember 22, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1003199712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 06155400
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 06155400 (WA)
Also ListedCase ManagementTaxonomy 251B00000X · License 06155400 (WA)
11818 SE MILL PLAIN BLVD, Vancouver, WA 98684
Open in Google Maps ↗

Other Names 1

Doing Business AsDaybreak Vancouver Outpatient

Other Identifiers 2

Medicaid2015313WA
Other155400WA · Wa State Dbhr

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON DOZARK D.C.
Chiropractor
11818 SE MILL PLAIN BLVD, #408
VANCOUVER, WA 98684
Clark County (360) 254-0616
JONATHAN WHETSELL LMP
Massage Therapist
11818 SE MILL PLAIN BLVD, SUITE 408
VANCOUVER, WA 98684
Clark County (360) 944-6692
DOZARK HEALTH AND WELLNESS INC
Chiropractor
11818 SE MILL PLAIN BLVD, SUITE 408
VANCOUVER, WA 98684
Clark County (360) 254-0616
HEALTHY IN HEALTHCARE
Massage Therapist
11818 SE MILL PLAIN BLVD, SUITE 401
VANCOUVER, WA 98684
Clark County (360) 601-6844
MRS. JANELLE DOZARK LMP
Massage Therapist
11818 SE MILL PLAIN BLVD, #408
VANCOUVER, WA 98684
Clark County (360) 254-0616
SMALL VOICES FAMILY THERAPY
Counselor (Mental Health)
11818 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (971) 361-8004
MS. REBECCA OGDEE LMP
Massage Therapist
11818 SE MILL PLAIN BLVD, SUITE #408
VANCOUVER, WA 98684
Clark County (360) 254-0616
KANUKAYI JACOBSEN
Student in an Organized Health Care Education/Training Program
11818 SE MILL PLAIN BLVD, 213
VANCOUVER, WA 98684
Clark County (360) 836-4386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daybreak Youth Services's NPI number?

The NPI number for Daybreak Youth Services is 1003199712. It was assigned to this organization in the NPPES registry on September 20, 2011. The provider is doing business as Daybreak Vancouver Outpatient.

Where is Daybreak Youth Services located?

Daybreak Youth Services is located at 11818 SE Mill Plain Blvd Suite 307, Vancouver, WA 98684. The listed phone number is (360) 750-9635.

What is Daybreak Youth Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Daybreak Youth Services was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.