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WILLAPA BEHAVIORAL HEALTH
NPI 1033755244
Peer Specialist in Long Beach, WA

Active since November 22, 2019CLIA 50D2186506 · Waiver
2204 PACIFIC AVE. N., LONG BEACH, WA 98631(360) 642-3787 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 1, 2020, Nov 22, 2019 (2 updates tracked since 2019).

About Willapa Behavioral Health NPPES

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

WILLAPA BEHAVIORAL HEALTH (NPI 1033755244) is a healthcare organization registered as a peer specialist in Long Beach, Washington and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Melodie Nichelle Presler, Peer Support, as its authorized official.

NPPES Registry Identity

NPI1033755244
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameWILLAPA BEHAVIORAL HEALTH
Location Address2204 PACIFIC AVE. N.Long Beach, WA 98631
Mailing Address2204 Pacific Ave. N.Long Beach, WA 98631 · (360) 642-3787
Phone(360) 642-3787
Organization SubpartNo
Authorized OfficialMelodie Nichelle PreslerPeer Support · (360) 205-5576
Enumeration DateNovember 22, 2019
Last NPPES UpdateApril 1, 20202 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
✔ NPI 1033755244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2204 PACIFIC AVE. N., Long Beach, WA 98631
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2186506

Willapa Behavioral Health · Long Beach, WA
Active · expires Apr 4, 2028
CLIA Number50D2186506
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJeffery Smith
Laboratory Phone(360) 642-3787
Laboratory LocationWillapa Behavioral Health2204 Pacific Ave N, Long Beach, WA 98631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Willapa Behavioral Health's NPI number?

The NPI number for Willapa Behavioral Health is 1033755244. It was assigned to this organization in the NPPES registry on November 22, 2019.

Where is Willapa Behavioral Health located?

Willapa Behavioral Health is located at 2204 Pacific Ave. N., Long Beach, WA 98631. The listed phone number is (360) 642-3787.

What is Willapa Behavioral Health's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Does Willapa Behavioral Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2186506) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willapa Behavioral Health was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.