LIFELINE CONNECTIONS
NPI 1639719743
Community/Behavioral Health in Aberdeen, WA

Active since January 07, 2020
311 S I ST, ABERDEEN, WA 98520(360) 787-9319 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Feb 14, 2020, Jan 7, 2020 (3 updates tracked since 2020).

About Lifeline Connections NPPES

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

LIFELINE CONNECTIONS (NPI 1639719743) is a healthcare organization registered as a community/behavioral health in Aberdeen, Washington and active in the NPI registry since January 2020. The organization maintains 2 additional practice locations and lists Kinh Reynolds, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639719743
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFELINE CONNECTIONS
Location Address311 S I STAberdeen, WA 98520-6615
Mailing AddressPo Box 1678Vancouver, WA 98668-1678 · (360) 397-8246 · Fax (360) 397-8250
Organization SubpartYes
Authorized OfficialKinh ReynoldsCfo · (360) 397-8246
Enumeration DateJanuary 7, 2020
Last NPPES UpdateMarch 1, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1639719743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
311 S I ST, Aberdeen, WA 98520

Secondary Practice Locations 2

Location 11006 Robert Bush Dr WSouth Bend, WA 98586-9858 · Phone (360) 787-9319
Location 21611 Kresky Ave Ste 114Centralia, WA 98531-8982 · Phone (360) 388-4048

Other Identifiers 1

Medicaid1990126WA

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
311 S I ST
ABERDEEN, WA 98520
Counselor (Addiction (Substance Use Disorder))
311 S I ST
ABERDEEN, WA 98520
Counselor (Addiction (Substance Use Disorder))
311 S I ST
ABERDEEN, WA 98520
Counselor (Mental Health)
311 S I ST
ABERDEEN, WA 98520
Counselor (Addiction (Substance Use Disorder))
311 S I ST
ABERDEEN, WA 98520

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 Lifeline Connections's NPI number?

The NPI number for Lifeline Connections is 1639719743. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Lifeline Connections located?

Lifeline Connections is located at 311 S I St, Aberdeen, WA 98520. The listed phone number is (360) 787-9319.

What is Lifeline Connections's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifeline Connections was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.