OrganizationActive
Daybreak Youth Services
NPI 1003199712 · Mental Health Counselor · Vancouver, WA
Provider details
- NPI number
- 1003199712
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Parent organization
- Daybreak Youth Services
- Organization subpart
- Yes
- Authorized official
- Thomas Russell, Ceo(509) 444-7033
- License
- 06155400 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11818 Se Mill Plain Blvd
Suite 307
Vancouver, WA 98684
Phone: (360) 750-9635
Fax: (360) 334-9541
Street-level locationGet directions
Mailing address
960 E 3rd Ave
Spokane, WA 99202-2241
Other names (DBA / former)
- Doing business as
- Daybreak Vancouver Outpatient
- Doing business as
- Daybreak Vancouver Outpatient
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2022-09-22
- Certified
- 2022-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.