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SQUARE ONE
NPI 1730654849
Community/Behavioral Health in Lynnwood, WA

Active since October 04, 2018
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036(425) 412-3155(425) 249-3522 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Jul 13, 2021, Dec 27, 2020 and 6 more (9 updates tracked since 2018).

About Square One NPPES

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

SQUARE ONE (NPI 1730654849) is a healthcare organization registered as a community/behavioral health in Lynnwood, Washington and active in the NPI registry since October 2018. The organization lists Jessica Whitehead, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730654849
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSQUAREONE SERVICES, SPC
Location Address21300 68TH AVE W STE 105Lynnwood, WA 98036-7310
Mailing Address21300 68th Ave W Ste 105Lynnwood, WA 98036-7310 · (425) 412-3155
Phone(425) 412-3155
Fax(425) 249-3522
Organization SubpartNo
Authorized OfficialJessica WhiteheadCeo · (425) 412-3155
Enumeration DateOctober 4, 2018
Last NPPES UpdateNovember 4, 20219 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1730654849 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.
21300 68TH AVE W STE 105, Lynnwood, WA 98036
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Other Names 2

Doing Business AsSquare One
Doing Business AsSquare One Recovery

Other Identifiers 1

Medicaid2125346WA

Other Providers at the Same Location NPPES 2

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

ELIZABETH BOUDREAUX
Counselor (Mental Health)
21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
Snohomish County (425) 412-3155
AMY HOFEDITZ CDP
Counselor (Addiction (Substance Use Disorder))
21300 68TH AVE W STE 105
LYNNWOOD, WA 98036
Snohomish County (425) 412-3155

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 Squareone Services, Spc's NPI number?

The NPI number for Squareone Services, Spc is 1730654849. It was assigned to this organization in the NPPES registry on October 4, 2018. The provider is doing business as Square One and Square One Recovery.

Where is Squareone Services, Spc located?

Squareone Services, Spc is located at 21300 68th Ave W Ste 105, Lynnwood, WA 98036. The listed phone number is (425) 412-3155.

What is Squareone Services, Spc'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 Squareone Services, Spc was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.