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JACK HUEYI CITLALIN
NPI 1487196697
Peer Specialist in Long Beach, WA

Active since November 07, 2016
2204 PACIFIC AVE N, LONG BEACH, WA 98631(360) 642-3787 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Nov 10, 2022, Nov 7, 2016 (3 updates tracked since 2016).

About Jack Hueyi Citlalin NPPES

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

JACK HUEYI CITLALIN (NPI 1487196697) is an individual peer specialist in Long Beach, Washington and active in the NPI registry since November 2016. He maintains a secondary practice location in Boardman.

NPPES Registry Identity

NPI1487196697
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACK HUEYI CITLALIN
Location Address2204 PACIFIC AVE NLong Beach, WA 98631-3300
Mailing Address2204 Pacific Ave NLong Beach, WA 98631-3300 · (541) 858-8170
Phone(360) 642-3787
Sole ProprietorNo
Enumeration DateNovember 7, 2016
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1487196697 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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Secondary Practice Location 1

Location 170362 Kunze LnBoardman, OR 97818-8013 · Phone (541) 481-3233 · Fax (541) 481-3234

Other Providers at the Same Location NPPES 20

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

ANDREW WALKER
Counselor (Mental Health)
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (603) 642-3787
MICHAEL YONKO
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
TAYLOR WARD
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
NICOLE PEARSON
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARCIA LYNN MENDIOLA
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARILYN IDA RAYMER RN
Registered Nurse
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
DR. CARIN A HORNE PH. D., AAC, LMHCA
Counselor
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (319) 242-2481
ANNE MATTSON
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787

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 Jack Hueyi Citlalin's NPI number?

The NPI number for Jack Hueyi Citlalin is 1487196697. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Jack Hueyi Citlalin located?

Jack Hueyi Citlalin practices at 2204 Pacific Ave N, Long Beach, WA 98631. The listed phone number is (360) 642-3787.

What is Jack Hueyi Citlalin's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Hueyi Citlalin was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.