LIFELINE CONNECTIONS
NPI 1689892473
Substance Abuse Rehabilitation Facility in Vancouver, WA

Active since April 24, 2007
1601 E FOURTH PLAIN BLVD, BUILDING 17, VANCOUVER, WA 98661(360) 397-8246 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2023, Mar 25, 2021, Nov 4, 2020 and 2 more (5 updates tracked since 2020).

About Lifeline Connections NPPES

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

LIFELINE CONNECTIONS (NPI 1689892473) is a healthcare organization registered as a substance abuse rehabilitation facility in Vancouver, Washington and active in the NPI registry since April 2007. The organization maintains 5 additional practice locations and lists Kinh Reynolds, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689892473
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIFELINE CONNECTIONS
Location Address1601 E FOURTH PLAIN BLVD, BUILDING 17Vancouver, WA 98661-3753
Mailing AddressPo Box 1678Vancouver, WA 98668-1678 · (360) 397-8246
Organization SubpartNo
Authorized OfficialKinh ReynoldsCfo · (360) 397-8246
Enumeration DateApril 24, 2007
Last NPPES UpdateMarch 1, 20235 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1689892473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in WA · RTF - 1075
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1601 E FOURTH PLAIN BLVD, Vancouver, WA 98661

Secondary Practice Locations 5

Location 111719 NE 95th St Ste AVancouver, WA 98682-2444 · Phone (360) 984-5511 · Fax (360) 984-5577
Location 22924 Falk RdVancouver, WA 98661-5604 · Phone (360) 949-3976 · Fax (360) 726-5961
Location 35197 NW Lower River RdVancouver, WA 98660 · Phone (360) 205-1222 · Fax (360) 469-1720
Location 46221 NE Fourth Plain Blvd Ste AVancouver, WA 98661-7206 · Phone (360) 609-8031 · Fax (360) 726-5072
Location 511719 NE 95th St Ste DVancouver, WA 98682-2444 · Phone (360) 397-8246

Other Identifiers 1

Medicaid1990126WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifeline Connections is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifeline Connections, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Clinical Social Worker2
Family Practice1
Marriage and Family Therapist1

Clinicians, nearest first (10)

Marriage and Family Therapist
NPI 1285067397
1601 E 4TH PLAIN BLVD STE A152
Vancouver, WA 98661
(564) 397-7686
✔ PECOSSame address
Clinical Social Worker
NPI 1356897904
1601 E FOURTH PLAIN BLVD BLDG 17 STE A212
Vancouver, WA 98661
(360) 397-8246
✔ PECOSSame address
Clinical Social Worker
NPI 1679094668
1601 E 4TH PLAIN BLVD BLDG 17
Vancouver, WA 98661
(360) 397-8246
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1710575410
9916 NE HIGHWAY 99
Vancouver, WA 98686
(360) 954-4522
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1144699224
11719 NE 95TH ST STE D
Vancouver, WA 98682
(360) 984-5511
✔ PECOS6.3 mi
Family Practice
NPI 1992966311
11719 NE 95TH ST STE AD
Vancouver, WA 98682
(360) 397-8246
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1477321644
101 ELLIOTT AVE W STE 500
Seattle, WA 98119
(425) 678-6463
✔ PECOS✔ Accepts Medicare138 mi
Nurse Practitioner
NPI 1952644965
3955 156TH ST NE
Marysville, WA 98271
(206) 669-3472
✔ PECOS✔ Accepts Medicare174 mi
Nurse Practitioner
NPI 1669434031
4120 MERIDIAN ST STE 220
Bellingham, WA 98226
(360) 922-3030
✔ PECOS✔ Accepts Medicare218 mi
Nurse Practitioner
NPI 1164994000
7969 ASHTON AVE
Manassas, VA 20109
(703) 840-4705
✔ PECOS✔ Accepts Medicare2,332 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 Lifeline Connections's NPI number?

The NPI number for Lifeline Connections is 1689892473. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Lifeline Connections located?

Lifeline Connections is located at 1601 E Fourth Plain Blvd Building 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Lifeline Connections's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Lifeline Connections enrolled in Medicare?

Yes. Lifeline Connections is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeline Connections?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifeline Connections. 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 (6), Clinical Social Worker (2) and Family Practice (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifeline Connections accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Lifeline Connections as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.