- Medicare Mental Health Clinic in Port Angeles, WA

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is a medicare enrolled mental health clinic (Counselor - Mental Health) in Port Angeles, Washington. The current practice location for is 221 E 11th St, Port Angeles, Washington. For appointments, you can reach them via phone at (360) 670-2336. The mailing address for is 221 E 11th St, Port Angeles, Washington and phone number is (360) 670-2336.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194872846. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 670-2336.

Contact Information

221 E 11th St
Port Angeles
WA 98362-7835
(360) 670-2336
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityCounselor
Location221 E 11th St, Port Angeles, Washington
Authorized Official Name and PositionDanielle Jones (BUSINESS MANAGER)
Authorized Official Contact8028840071
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

221 E 11th St
Port Angeles
WA 98362-7835

Ph: (360) 670-2336
221 E 11th St
Port Angeles
WA 98362-7835

Ph: (360) 670-2336

NPI Details:

NPI Number1194872846
Provider Enumeration Date01/04/2007
Last Update Date12/29/2024
Certification Date12/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3779471313
Medicare Enrollment IDO20040305001073

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194872846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 601497735 (Washington)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameTerri Paquin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588724645
PECOS PAC ID: 4789611807
Enrollment ID: I20110801000234
Provider NameSusan Crumley Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568880680
PECOS PAC ID: 1052221918
Enrollment ID: I20170613002683
Provider NameKerrie Buis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578849865
PECOS PAC ID: 4183967060
Enrollment ID: I20191007000625
Provider NameTien Vo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689143471
PECOS PAC ID: 9032543962
Enrollment ID: I20191230001972
Provider NameRebecca Beth Barrett
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659925634
PECOS PAC ID: 2062863418
Enrollment ID: I20240110000937

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.