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JEFFERSON COMMUNITY COUNSELING CENTER

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Company Details

Legal Name: JEFFERSON COMMUNITY COUNSELING CENTER
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 16th 1991
Expiration date: 31 Dec 2025
UBI Number: 601 357 458
FEIN Number: 91-1539432
Purpose: COMMUNITY BASED MENTAL HEALTH TREATMENT CENTER DEDICATED TO PROVIDING STATE OF THE ART SERVICES TO FOSTER RECOVERY AND RESILIENCE IN AN ACCESSIBLE, RESPECTIVE AND CARING ENVIRONMENT.
ZIP code: 98368
City: Port Townsend
County: JEFFERSON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 884 W PARK AVE, PORT TOWNSEND, WA, 98368-2273, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 565, PORT TOWNSEND, WA, 98368-0565, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $69,517

Contact Details

E-Mail: DANT@DISCOVERYBH.ORG
Phone Number: +1 360-385-0321

Nature of Business

COMMUNITY MENTAL HEALTH CENTER

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Registered Agent Information

Name Role Address
DAN TAYLOR Registered Agent 884 W PARK AVE, PORT TOWNSEND, WA, 98368-2273, UNITED STATES

Key Officers & Management

Name Role Address
JOSEPH NOLE Governing Person -
EDWARD BLUHM Governing Person -
JILL LANDES Governing Person -
CHRISTOPHER ASHCRAFT Governing Person -
NOAH HARRISON Governing Person -
DAVID CARLBOM Governing Person -
BARBARA CARR Governing Person -
DAN TAYLOR CFO PO BOX 565, PORT TOWNSEND, WA, 98368-0565, UNITED STATES

Unique Entity ID

Unique Entity ID:
LQ7GXA8UDP24
CAGE Code:
92AL9
UEI Expiration Date:
2026-01-13

Business Information

Doing Business As:
DISCOVERY BEHAVIORAL HEALTHCARE
Division Name:
JEFFERSON COMMUNITY COUNSELING CENTER
Activation Date:
2025-01-15
Initial Registration Date:
2021-04-21

National Provider Identifier

NPI Number:
1083701015
Certification Date:
2022-02-07

Authorized Person:

Name:
TONYA M FERGUSON
Role:
DIRECTOR OF OPERATIONS AND COMPLIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
3603792547

Tax Exempt

Employer Identification Number (EIN):
91-1539432
Ruling Date:
1992-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202206
Link:
Return Type:
990
Tax Period:
202106
Link:
Return Type:
990
Tax Period:
202006
Link:

Paycheck Protection Program

Jobs Reported:
37
Initial Approval Amount:
$567,670
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$567,670
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$573,961.68
Servicing Lender:
Kitsap Bank
Use of Proceeds:
Payroll: $567,670

Charity/Fundraiser/Trust

Registration Number:
2000992
Type:
CHARITABLE ORGANIZATION
Status:
Active
Renewal Date:
2026-05-31

Financial History

Fiscal Begin Date:
2023-07-01
Fiscal End Date:
2024-06-30
Begin Assets:
$6,259,667.00
Revenue:
$7,546,041.00
Program Services:
$4,393,277.00
Expenses:
$5,810,878.00
End Assets:
$7,988,098.00
% To Program Services:
76%
Fiscal Begin Date:
2022-07-01
Fiscal End Date:
2023-06-30
Begin Assets:
$5,887,738.00
Revenue:
$6,152,343.00
Program Services:
$4,537,945.00
Expenses:
$5,780,414.00
End Assets:
$6,259,667.00
% To Program Services:
79%
Fiscal Begin Date:
2021-07-01
Fiscal End Date:
2022-06-30
Begin Assets:
$5,278,347.00
Revenue:
$5,261,292.00
Program Services:
$3,718,146.00
Expenses:
$4,771,197.00
End Assets:
$5,887,738.00
% To Program Services:
78%
Fiscal Begin Date:
2020-07-01
Fiscal End Date:
2021-06-30
Begin Assets:
$3,966,891.00
Revenue:
$5,449,452.00
Program Services:
$2,738,802.00
Expenses:
$3,577,361.00
End Assets:
$5,278,347.00
% To Program Services:
77%
Fiscal Begin Date:
2019-07-01
Fiscal End Date:
2020-06-30
Begin Assets:
$3,105,012.00
Revenue:
$4,225,482.00
Program Services:
$2,896,386.00
Expenses:
$3,646,127.00
End Assets:
$3,966,891.00
% To Program Services:
79%
Registration Number:
1106765
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2018-05-31

Financial History

Fiscal Begin Date:
2015-07-01
Fiscal End Date:
2016-06-30
Begin Assets:
$2,853,612.00
Revenue:
$3,187,032.00
Program Services:
$2,319,186.00
Expenses:
$3,226,793.00
End Assets:
$2,724,800.00
% To Program Services:
72%
Fiscal Begin Date:
2014-07-01
Fiscal End Date:
2015-06-30
Begin Assets:
$2,671,676.00
Revenue:
$3,549,387.00
Program Services:
$2,338,160.00
Expenses:
$3,197,699.00
End Assets:
$2,853,612.00
% To Program Services:
73%
Fiscal Begin Date:
2013-07-01
Fiscal End Date:
2014-06-30
Begin Assets:
$2,803,437.00
Revenue:
$2,707,217.00
Program Services:
$1,888,997.00
Expenses:
$2,706,808.00
End Assets:
$2,671,676.00
% To Program Services:
70%
Fiscal Begin Date:
2012-07-01
Fiscal End Date:
2013-06-30
Begin Assets:
$3,254,558.00
Revenue:
$2,346,860.00
Program Services:
$1,897,678.00
Expenses:
$2,662,984.00
End Assets:
$2,803,437.00
% To Program Services:
71%
Fiscal Begin Date:
2011-07-01
Fiscal End Date:
2012-06-30
Begin Assets:
$2,926,873.00
Revenue:
$2,642,528.00
Program Services:
$1,552,188.00
Expenses:
$2,103,494.00
End Assets:
$3,254,778.00
% To Program Services:
74%
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