NPIMap

Organization Active NPI

Pioneer Human Services

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1003939034
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27114000 Issued in WA
Legal business name
PIONEER HUMAN SERVICES
Practice address
1111 Fawcett Ave Ste 200
Tacoma, WA 98402-2024
Phone
(253) 274-0484
Fax
(253) 274-1457
NPI assigned
Apr 6, 2007
Last updated
Jan 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Steve Woolworth
Title
Vice President, Treatment & Reentry
Phone
(206) 766-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27114000 WA Primary

Addresses

Primary practice location

1111 Fawcett Ave Ste 200
Tacoma, WA 98402-2024

Mailing address

7440 W. Marginal Way S.
Pioneer Human Services - Contracts
Seattle, WA 98108-4141
Phone (206) 768-1990

Other identifiers 1

IdentifierTypeStateIssuer
1995091MedicaidWA

Other names 1

  • Pioneer Counseling Tacoma - Fawcett Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Center North35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

1111 Fawcett Ave
Ste 200
Tacoma, WA 98402
Phone (253) 274-0484

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1003939034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W. MARGINAL WAY S.",
            "address_2": "PIONEER HUMAN SERVICES - CONTRACTS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084141",
            "telephone_number": "206-768-1990",
            "fax_number": "206-768-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 FAWCETT AVE STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022024",
            "telephone_number": "253-274-0484",
            "fax_number": "253-274-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "WOOLWORTH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREATMENT & REENTRY",
        "authorized_official_telephone_number": "206-766-7018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27114000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995091",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Counseling Tacoma - Fawcett Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.