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PENINSULA BEHAVIORAL HEALTH
NPI 1760519060
Community/Behavioral Health in Port Angeles, WA

Active since February 27, 2007CLIA 50D2190958 · Waiver
118 E 8TH ST, PORT ANGELES, WA 98362(360) 457-0431(360) 457-0493 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Dec 5, 2018 (2 updates tracked since 2018).

About Peninsula Behavioral Health NPPES

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

PENINSULA BEHAVIORAL HEALTH (NPI 1760519060) is a healthcare organization registered as a community/behavioral health in Port Angeles, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wendy A Sisk, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760519060
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePENINSULA BEHAVIORAL HEALTH
Location Address118 E 8TH STPort Angeles, WA 98362-6129
Mailing Address118 E 8th StPort Angeles, WA 98362-6129 · (360) 457-0431 · Fax (360) 457-0493
Phone(360) 457-0431
Fax(360) 457-0493
Organization SubpartNo
Authorized OfficialWendy A SiskExecutive Director · (360) 457-0431
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1760519060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
118 E 8TH ST, Port Angeles, WA 98362
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Other Identifiers 3

Medicaid7130883WA
Medicaid9647298WA
Medicaid1980606WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2190958

Peninsula Behavioral Health · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D2190958
Laboratory TypeMental/ Behavioral Health
Certificate Effective DateAugust 20, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmy Scott
Laboratory Phone(360) 457-0431
Laboratory LocationPeninsula Behavioral Health118 E 8th St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DEBORAH FREDSON BA
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
NICOLE LYNN MOREIRA MA, AAC
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
AIDAN CLYDE RYGAARD
Social Worker
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
SHARRA MICHELLE REYNOLDS
Case Manager/Care Coordinator
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
LAURA LEE ELIASON LMHCA
Counselor (Mental Health)
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
JACOB DANIEL SHAPIRO MA-C
Technician
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (136) 045-7043
MELISSA WESTON
Social Worker
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431
KATHLEEN MARIE HOWARD
Case Manager/Care Coordinator
118 E 8TH ST
PORT ANGELES, WA 98362
Clallam County (360) 457-0431

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 Peninsula Behavioral Health's NPI number?

The NPI number for Peninsula Behavioral Health is 1760519060. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Peninsula Behavioral Health located?

Peninsula Behavioral Health is located at 118 E 8th St, Port Angeles, WA 98362. The listed phone number is (360) 457-0431.

What is Peninsula Behavioral Health's specialty?

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

Does Peninsula Behavioral Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2190958) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peninsula Behavioral Health accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Peninsula Behavioral Health 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 Peninsula Behavioral Health was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.