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: October 25, 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
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

Other Identifiers 3

Medicaid7130883WA
Medicaid9647298WA
Medicaid1980606WA

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)

Peninsula Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Peninsula Behavioral Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Mental Health Counselor12
Nurse Practitioner12
Clinical Social Worker9
Psychiatry2

Nearest to this location (20)

See all 35
Clinical Social Worker
NPI 1073810669
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083742845
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1972194595
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1619452430
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1295181782
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0493
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1336619378
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1235870395
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1689755811
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1235330192
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1336604768
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1215374301
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1871954941
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1154859585
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598795874
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1982759643
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1093469025
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700934288
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1578028668
118 E 8TH ST
Port Angeles, WA 98362
(360) 477-0787
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1285029835
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1912260936
118 E 8TH ST
Port Angeles, WA 98362
(360) 457-0431
✔ PECOS0.1 mi
See all 35 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Peninsula Behavioral Health enrolled in Medicare?

Yes. Peninsula Behavioral Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Behavioral Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 4 Medicare specialties reassign their Medicare billing to Peninsula Behavioral Health. 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 Mental Health Counselor (12), Nurse Practitioner (12) and Clinical Social Worker (9). Of these, 2 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ambetter Health and 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.