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Robert Charles Ullerich

Peer Specialist β€’ Centralia, WA

Active NPI 1598359515 Individual Practitioner Male Practitioner
Practice location in NPPES

2428 W Reynolds Ave
Centralia, WA 985314554

Call 3603309044 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2428 W Reynolds Ave

Centralia, WA 985314554

Telephone 3603309044
Organization at the Same NPPES Address or Phone
Cascade Community Healthcare Facility NPI 1619068624

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lakewood, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centralia and Washington

64 active clinicians are listed under Peer Specialist with a practice address in Centralia, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Centralia

0% of these 64 clinicians have the CMS telehealth indicator.

0% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CB61173850

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

6210 75th St W Ste B100

Lakewood, WA 984998109

Phone: 2533455720

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Monica Aparicio , ARNP

Nurse Practitioner

NPI 1235529843

Advanced Registered Nurse Practitioner

Luke Greene , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134423056

Psychiatric-Mental Health Nurse Practitioner

Duane Patterson

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154054344

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 08, 2024

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸ“
Updated Business Mailing Address October 08, 2024

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2021

Behavior Technician

βœ…
NPI Profile Active February 22, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 22, 2021

Registered at 6210 75TH ST W STE B100, LAKEWOOD, WA 984998109 (Tel: 2533455720)

πŸ“
Business Mailing Address (Initial Record) February 22, 2021

Registered at 9938 62ND AVE SE, OLYMPIA, WA 985139206 (Tel: 3605562623)

πŸ‘€
Provider Name / Credentials (Initial Record) February 22, 2021

Recorded as ROBERT ULLERICH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2021

Behavior Analyst

🟒
Initial NPI Registration & Enumeration February 22, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598359515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2021
Last Update: October 08, 2024
Sole Proprietor: Yes

Mailing Address

2428 W Reynolds Ave

Centralia, WA 985314554

Phone: 3603309044

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.