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BEHAVIORAL HEALTH RESOURCES
NPI 1194896654
Community/Behavioral Health in Shelton, WA

Active since November 13, 2006
110 W K ST, SHELTON, WA 98584(360) 426-1696(360) 427-0357 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Behavioral Health Resources NPPES

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

BEHAVIORAL HEALTH RESOURCES (NPI 1194896654) is a healthcare organization registered as a community/behavioral health in Shelton, Washington and active in the NPI registry since November 2006. The organization lists Eric Jensen, Controller, as its authorized official.

NPPES Registry Identity

NPI1194896654
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBEHAVIORAL HEALTH RESOURCES
Location Address110 W K STShelton, WA 98584-2939
Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170 · Fax (360) 709-4374
Phone(360) 426-1696
Fax(360) 427-0357
Organization SubpartNo
Authorized OfficialEric JensenController · (360) 236-7170
Enumeration DateNovember 13, 2006
Last NPPES UpdateDecember 27, 2019
✔ NPI 1194896654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WA · 600144953
Definition
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.
110 W K ST, Shelton, WA 98584
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Other Identifiers 1

Medicaid1993088WA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Behavioral Health Resources is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Behavioral Health Resources, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Rebecca Renn, M.D.
Psychiatry
NPI 1457319071
700 LILLY RD NE
Olympia, WA 98506
(508) 923-7000
✔ PECOS✔ Accepts Medicare21 mi
Peter Hausman, ARNP, PMHNP-BC
Nurse Practitioner
NPI 1497234892
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS✔ Accepts Medicare21 mi
Jonathan Hickman, PMHNP-BC
Nurse Practitioner
NPI 1649613555
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS✔ Accepts Medicare21 mi
John Kamin, M.D.
Psychiatry
NPI 1558433185
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS✔ Accepts Medicare21 mi
Anne Patterson, ARNP
Nurse Practitioner
NPI 1194255927
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS✔ Accepts Medicare21 mi
George Petzinger, M.D.
Psychiatry
NPI 1003905522
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS21 mi
Anneliese Kraiger
Nurse Practitioner
NPI 1285075457
205 8TH ST
Hoquiam, WA 98550
(360) 538-9215
✔ PECOS✔ Accepts Medicare39 mi
Lawrence Martin, M.D.
Psychiatry
NPI 1902919202
850 MAPLE STREET
Medical Lake, WA 99022
(509) 565-4000
✔ PECOS✔ Accepts Medicare257 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Behavioral Health Resources's NPI number?

The NPI number for Behavioral Health Resources is 1194896654. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Behavioral Health Resources located?

Behavioral Health Resources is located at 110 W K St, Shelton, WA 98584. The listed phone number is (360) 426-1696.

What is Behavioral Health Resources's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Behavioral Health Resources enrolled in Medicare?

Yes. Behavioral Health Resources is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Behavioral Health Resources?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Behavioral Health Resources. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Behavioral Health Resources was last updated on December 27, 2019. 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.