| Palouse River Counseling | |
|
340 Ne Maple St Pullman WA 99163-4120 | |
| (509) 334-1133 | |
| (509) 332-1608 |
| Full Name | Palouse River Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 340 Ne Maple St, Pullman, Washington |
| Authorized Official Name and Position | Mike Berney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5093341133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palouse River Counseling 340 Ne Maple St Pullman WA 99163-4120 Ph: (509) 334-1133 | Palouse River Counseling 340 Ne Maple St Pullman WA 99163-4120 Ph: (509) 334-1133 |
| NPI Number | 1063486272 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 01/13/2014 |
| Medicare PECOS PAC ID | 5698768331 |
|---|---|
| Medicare Enrollment ID | O20040407000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063486272 | NPI | - | NPPES |
| 7104177 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 009 (Washington) | Primary |
| Provider Name | Alisha D Dearmin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982762936 PECOS PAC ID: 5395833370 Enrollment ID: I20071109000182 |
| Provider Name | George A Langfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497813612 PECOS PAC ID: 6002947215 Enrollment ID: I20100705000009 |
| Provider Name | Luann Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013141704 PECOS PAC ID: 1557544152 Enrollment ID: I20110318000628 |
| Provider Name | Susan K Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376849737 PECOS PAC ID: 7719165604 Enrollment ID: I20110623000485 |
| Provider Name | Ann N Haelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144660325 PECOS PAC ID: 8921235912 Enrollment ID: I20131219000652 |
| Provider Name | Julie A Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053703520 PECOS PAC ID: 0143549006 Enrollment ID: I20150428000944 |
| Provider Name | Anya Sheftel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124332226 PECOS PAC ID: 0345533527 Enrollment ID: I20160726001197 |
| Provider Name | Diane U Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124460324 PECOS PAC ID: 3375826704 Enrollment ID: I20170209002149 |
| Provider Name | Jill M Elbracht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902318280 PECOS PAC ID: 6002174778 Enrollment ID: I20171229002240 |
| Provider Name | Kristine G Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982190583 PECOS PAC ID: 2860741709 Enrollment ID: I20180825000166 |
| Provider Name | Edward Gogek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124136627 PECOS PAC ID: 8123211554 Enrollment ID: I20181022001236 |
| Provider Name | Nasreen S Shah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497029235 PECOS PAC ID: 9133557382 Enrollment ID: I20200413002886 |
| Provider Name | Angie Shantie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659734143 PECOS PAC ID: 3678847282 Enrollment ID: I20201104002158 |
| Provider Name | Olesya Mussman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841845682 PECOS PAC ID: 8224436498 Enrollment ID: I20211004000242 |
Palouse Ridge Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Se Professional Mall Blvd Ste 109, Pullman, WA 99163 Phone: 509-432-3925 | |
Casa Counseling And Evaluation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1256 Se Bishop Blvd Ste N, Pullman, WA 99163 Phone: 509-631-8363 Fax: 509-430-9376 | |
Melanie Whetstine Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 254 E Main St, Suite 226, Pullman, WA 99163 Phone: 509-330-5456 Fax: 509-561-6229 | |
Len D Mccoy Psy D Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 Se Bishop Blvd, Suite B, Pullman, WA 99163 Phone: 509-338-9100 Fax: 509-338-0905 | |
Casa Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1256 Se Bishop Blvd Ste N, Pullman, WA 99163 Phone: 509-631-8363 Fax: 509-420-9376 | |
Dean Funabiki And Associates , P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Se Professional Mall Blvd, Suite 113, Pullman, WA 99163 Phone: 509-334-0677 Fax: 509-334-3115 |