EDMONDS COMMUNITY COLLEGE
NPI 1831724574
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lynnwood, WA

Active since March 03, 2020
20000 68TH AVE W, LYNNWOOD, WA 98036(425) 640-1718 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About EDMONDS COMMUNITY COLLEGE

This page provides the complete NPI Profile along with additional information for Edmonds Community College, a provider established in Lynnwood, Washington operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1831724574 assigned on March 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Diana Chernisky (Assistant Director, Counseling/well)

NPI
1831724574 Verify this NPI
Provider Name
EDMONDS COMMUNITY COLLEGE
Entity Type
Organization
Location Address
20000 68TH AVE W LYNNWOOD, WA 98036
Location Phone
(425) 640-1718
Mailing Address
20000 68TH AVE W LYNNWOOD, WA 98036
Mailing Phone
(425) 640-1718
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-03-2020
Last Update Date
03-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANA CHERNISKY

Authorized Official Title
ASSISTANT DIRECTOR, COUNSELING/WELL
Authorized Official Phone
(425) 640-1718

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831724574, enumerated as an "organization" on March 03, 2020.

The provider is located at 20000 68TH AVE W LYNNWOOD, WA 98036 and the phone number is (425) 640-1718.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).