TELECARE THURSTON MASON EVALUATION AND TREATMENT
NPI 1912420449
Community Based Residential Treatment Facility, Mental Illness in Olympia, WA

Q: What is Telecare Mental Health Services Of Washington Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since July 17, 2017CLIA 50D2205754 · Waiver

3436 MARY ELDER RD NE, OLYMPIA, WA 98506(360) 528-2590(360) 528-2592 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Aug 14, 2017, Jul 17, 2017 (3 updates tracked since 2017).

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About Telecare Thurston Mason Evaluation And Treatment NPPES

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

TELECARE THURSTON MASON EVALUATION AND TREATMENT (NPI 1912420449) is a healthcare organization registered as a community based residential treatment facility, mental illness in Olympia, Washington and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Leslie Davis, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912420449

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameTELECARE MENTAL HEALTH SERVICES OF WASHINGTON INC

Location Address3436 MARY ELDER RD NEOlympia, WA 98506-5050

Mailing Address1080 Marina Village Pkwy Ste 100Alameda, CA 94501-1078 · (510) 337-7950 · Fax (510) 337-7969

Phone(360) 528-2590

Fax(360) 528-2592

Organization SubpartNo

Authorized OfficialLeslie DavisSvp, Cfo · (510) 337-7950

Enumeration DateJuly 17, 2017

Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1912420449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

3436 MARY ELDER RD NE, Olympia, WA 98506

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Other Names 1

Doing Business AsTelecare Thurston Mason Evaluation And Treatment

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 50D2205754

Telecare Thurston Mason E And T · Olympia, WA

Active · expires Apr 4, 2028

CLIA Number50D2205754

Laboratory TypeE And T

Certificate Effective DateDecember 15, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorAnn Styrvoky

Laboratory Phone(360) 528-2590

Laboratory LocationTelecare Thurston Mason E And T3436 Mary Elder Rd NE, Olympia, WA 98506

CLIA data matches this NPI record on: Address 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.

MRS. SARAH K AUGUSTINE MT-BC, AAC

Music Therapist