Evergreen Behavioral Health PC
NPI 1205146776ActiveOrganization· Psychologist, Clinical· Vancouver, WA
Psychologist, Clinical in Vancouver, Washington, registered in NPPES in October 2010. The authorized official on file is Jill B. Fancher, PH.D., Clinic Director/Owner.
Overview
| NPI | 1205146776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2010 |
| Last updated in NPPES | Oct 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Massage Therapist | 225700000X | — | — |
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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