Daybreak Youth Services
NPI 1003199712ActiveOrganization· Counselor, Mental Health· Vancouver, WA
Counselor, Mental Health in Vancouver, Washington, registered in NPPES in September 2011, part of Daybreak Youth Services. The authorized official on file is Thomas Russell, Ceo.
Overview
| NPI | 1003199712 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Daybreak Youth Services |
| NPI issued | Sep 20, 2011 |
| Last updated in NPPES | Sep 22, 2022 |
| Certified by provider | Sep 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 06155400 | WA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 06155400 | WA |
| Case Management | 251B00000X | 06155400 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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