Provider Demographics
NPI:1306613807
Name:JERICHO CONSULTING SERVICES
Entity type:Organization
Organization Name:JERICHO CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LAMARCHE
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:509-949-7188
Mailing Address - Street 1:16530 AHTANUM RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98903-9760
Mailing Address - Country:US
Mailing Address - Phone:509-949-7188
Mailing Address - Fax:
Practice Address - Street 1:1314 N 16TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-1354
Practice Address - Country:US
Practice Address - Phone:509-949-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASWV0290425-00OtherDEPARTMENT OF VOCATIONAL REHAB
WA2216818OtherDDA PROVIDER NUMBER