Nooksack Central Management System
Nooksack Central Management System is a healthcare organization registered as Mental Health Counselor in Everson, WA, holding Type 2 (organization) NPI 1578778189 since 2007. The authorized official on file is Eric Davenport, Governmental Service Executive.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1578778189 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nooksack Central Management System |
| Other name | <Unavail> |
| Parent organization | Nooksack Central Managment System |
| Practice address | 6760 MISSION RD, Everson, WA, 98247 |
| Phone | 3609664150 |
| Fax | 3609664111 |
| Enumeration date | 2007-05-14 |
| Last updated in NPPES | 2011-10-03 |
Authorized official
| Name | Eric Davenport |
|---|---|
| Title | Governmental Service Executive |
| Phone | 3605925176 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor | Primary | — | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1981018 | Medicaid | WA | — |
Copy-ready billing details
Provider: Nooksack Central Management System NPI: 1578778189 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 6760 MISSION RD, Everson, WA, 98247
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366433864 | Kathleen Puderbaugh | Individual | Women's Health Nurse Practitioner | Everson, WA |
| 1841351285 | Randall Moore | Individual | Family Medicine Physician | Everson, WA |
| 1568528842 | Nooksack Central Management System | Organization | Family Medicine Physician | Everson, WA |
| 1891843769 | Nooksack Dental Clinic | Organization | Dentist | Everson, WA |
| 1932257144 | Mary Shields | Individual | Pediatrics Physician | Everson, WA |
| 1760517726 | Aamer Khan | Individual | Psychologist | Everson, WA |
| 1699967265 | Nooksack Indian Tribe | Organization | Dentist | Everson, WA |
| 1790978229 | Cathie Diller | Individual | Family Medicine Physician | Everson, WA |
Verify this record
Cross-check NPI 1578778189 against the authoritative CMS record: view Nooksack Central Management System on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Nooksack Central Management System?
What is the NPI number for Nooksack Central Management System?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-10-03.