OrganizationActive
Nooksack Central Management System
NPI 1487869095 · Mental Health Counselor · Everson, WA
Provider details
- NPI number
- 1487869095
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Eric Davenport, Government Service Exec(360) 952-5176
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6750 Mission Rd
Everson, WA 98247-9749
Phone: (360) 966-7704
Fax: (360) 966-4225
Street-level locationGet directions
Mailing address
Po Box 157
Deming, WA 98244-0157
Other names (DBA / former)
- Other name
- The Nooksack Hope Behavorial Health Program
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2011-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.