MRS. TRISTA FAYE BREITENBAUCH SUDP
NPI 1124576418
Counselor - Mental Health in Vancouver, WA

NPI Status: Active since September 14, 2016

Contact Information

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661
Phone: (360) 605-7628

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance

About TRISTA BREITENBAUCH

This page provides the complete NPI Profile along with additional information for Trista Breitenbauch, a provider established in Vancouver, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1124576418 assigned on September 2016. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1124576418
Provider Name
MRS. TRISTA FAYE BREITENBAUCH SUDP
Gender
Female
Entity Type
Individual
Location Address
1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661
Location Phone
(360) 605-7628
Mailing Address
PO BOX 1678 VANCOUVER, WA 98668
Is Sole Proprietor?
No
Enumeration Date
09-14-2016
Last Update Date
04-20-2021
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A mental health counselor like Trista Breitenbauch 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

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)

CO 60255487 (WA)

Insurance Plans Accepted

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

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for MRS. TRISTA FAYE BREITENBAUCH SUDP

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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.
1124576418
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21441071242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 0 + 7 + 1 + 2 + 4 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1124576418 is valid because the calculated check digit 8 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.

KIM L CARNAHAN LEWIS ARNP

Nurse Practitioner

(Psychiatric/Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
SUITE B222
VANCOUVER, WA
ZIP 98661

(360) 397-8484

MR. DANIEL FRANK CROSLAND CDP

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
B222
VANCOUVER, WA
ZIP 98661

(360) 397-8484

MS. JEAN MARIE HARPER CDP

Counselor

(Professional)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8246

MACKENZIE L DUNHAM MSW, CDPT

Social Worker

1601 E FOURTH PLAIN BLVD BLDG 17
SUITE A212
VANCOUVER, WA
ZIP 98661

(360) 397-8246

JERROD RAY MEIREIS CDPT

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
SUITE B222
VANCOUVER, WA
ZIP 98661

(360) 397-8484

KRISTI CATRON CDPT

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8246

KELLY ANN BLANCHARD RN

Registered Nurse

(Community Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8000

MARY THERESA GLUZINSKI

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

BRYAN WARREN

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 690-0005

TRACEY LYNN ABREGO

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

TATIANA DAWN VIERA

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

MELISSA ANNE SPAULDING

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

EMILY-JOY MARIE PARR

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

MANDY RENEE RESENDIZ

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

TESSA WARGO

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

ADRIENNE DIERS

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

TAYLOR MICHELLE FAULK CDPT

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(800) 604-0025

KATHERINE ZAVALA

Counselor

(Addiction (Substance Use Disorder))

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

CASSIE LYNN LUNA

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

DARBY MICHELLE MARSHALL

Counselor

(Mental Health)

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661

(360) 397-8484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124576418, enumerated as an "individual" on September 14, 2016.

The provider is located at 1601 E FOURTH PLAIN BLVD BLDG 17 VANCOUVER, WA 98661 and the phone number is (360) 605-7628.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.