BREATH OF LIFE INCORPORATED
NPI 1538802707
Counselor - Mental Health in Centralia, WA

Active since April 15, 2022
625 S DIAMOND ST, CENTRALIA, WA 98531(360) 807-8476 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Breath Of Life Incorporated NPPES

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

BREATH OF LIFE INCORPORATED (NPI 1538802707) is a healthcare organization registered as a mental health in Centralia, Washington and active in the NPI registry since April 2022. The organization lists Sherri Lynn Coult Hamilton, President, as its authorized official.

NPPES Registry Identity

NPI1538802707
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBREATH OF LIFE INCORPORATED
Location Address625 S DIAMOND STCentralia, WA 98531-3817
Mailing AddressPo Box 1241Centralia, WA 98531-0730 · (360) 807-8476
Organization SubpartNo
Authorized OfficialSherri Lynn Coult HamiltonPresident · (360) 880-1961
Enumeration DateApril 15, 2022
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1538802707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
625 S DIAMOND ST, Centralia, WA 98531

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breath Of Life Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Breath Of Life Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1528196912
204 CENTRALIA COLLEGE BLVD
Centralia, WA 98531
(360) 880-1961
✔ PECOS0.4 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 Breath Of Life Incorporated's NPI number?

The NPI number for Breath Of Life Incorporated is 1538802707. It was assigned to this organization in the NPPES registry on April 15, 2022.

Where is Breath Of Life Incorporated located?

Breath Of Life Incorporated is located at 625 S Diamond St, Centralia, WA 98531. The listed phone number is (360) 807-8476.

What is Breath Of Life Incorporated's specialty?

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

Is Breath Of Life Incorporated enrolled in Medicare?

Yes. Breath Of Life Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breath Of Life Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Breath Of Life Incorporated. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Breath Of Life Incorporated was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.