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REAL LIFE COMMUNITY BEHAVIORAL HEALTH PLLC
NPI 1952063265
Counselor - Mental Health in Vancouver, WA

Active since October 13, 2021
1498 SE TECH CENTER PL STE 180, VANCOUVER, WA 98683(360) 200-8670(360) 838-0413 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2024, Feb 16, 2023, Oct 17, 2022 and 1 more (4 updates tracked since 2021).

About Real Life Community Behavioral Health Pllc NPPES

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

REAL LIFE COMMUNITY BEHAVIORAL HEALTH PLLC (NPI 1952063265) is a healthcare organization registered as a mental health in Vancouver, Washington and active in the NPI registry since October 2021. The organization lists Jason Norris, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1952063265
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREAL LIFE COMMUNITY BEHAVIORAL HEALTH PLLC
Location Address1498 SE TECH CENTER PL STE 180Vancouver, WA 98683-5518
Mailing Address1498 Se Tech Center Pl Ste 180Vancouver, WA 98683-5518 · (360) 200-8670 · Fax (360) 838-0413
Phone(360) 200-8670
Fax(360) 838-0413
Organization SubpartNo
Authorized OfficialJason NorrisBusiness Owner · (360) 903-4415
Enumeration DateOctober 13, 2021
Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1952063265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1498 SE TECH CENTER PL STE 180, Vancouver, WA 98683
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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)

Real Life Community Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Real Life Community Behavioral Health PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Annanissa Glidden, M.A.
Mental Health Counselor
NPI 1992007694
1498 SE TECH CENTER PL
Vancouver, WA 98683
(360) 209-3470
✔ PECOSSame address
Jason Norris, MA, MED, LMHC, CMHS
Mental Health Counselor
NPI 1730449687
1498 SE TECH CENTER PL STE 180
Vancouver, WA 98683
(360) 200-8670
✔ PECOSSame address
Robert Lindberg, MSW
Clinical Social Worker
NPI 1871668442
417 SE 164TH AVE STE 300
Vancouver, WA 98684
(360) 896-6944
✔ PECOS✔ Accepts Medicare0.6 mi

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

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 Real Life Community Behavioral Health PLLC's NPI number?

The NPI number for Real Life Community Behavioral Health PLLC is 1952063265. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Real Life Community Behavioral Health PLLC located?

Real Life Community Behavioral Health PLLC is located at 1498 SE Tech Center Pl Ste 180, Vancouver, WA 98683. The listed phone number is (360) 200-8670.

What is Real Life Community Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Real Life Community Behavioral Health PLLC enrolled in Medicare?

Yes. Real Life Community Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Real Life Community Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Real Life Community Behavioral Health PLLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Real Life Community Behavioral Health PLLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Real Life Community Behavioral Health PLLC 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 Real Life Community Behavioral Health PLLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.