NPIMap

Organization Active NPI

Catholic Community Services of Western Washington

Doing business as Catholic Community Services King County

  • Case Management Agency
  • Seattle, WA
National Provider Identifier
1003964545
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
081 Issued in WA
Legal business name
CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
Doing business as
Catholic Community Services King County
Practice address
100 23Rd Ave S
Seattle, WA 98144
Phone
(206) 323-6336
Fax
(206) 328-5699
NPI assigned
Jan 8, 2007
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Stephanie M. Thelen
Title
Compliance & Policy Analyst
Phone
(253) 761-3898

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 081 WA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 081 WA
Adult Mental Health Clinic/Center 261QM0850X 081 WA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 081 WA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 17034300 WA

Addresses

Primary practice location

100 23Rd Ave S
Seattle, WA 98144

Mailing address

100 23Rd Ave S
Seattle, WA 98144-2302
Phone (206) 323-6336

Other identifiers 2

IdentifierTypeStateIssuer
081OtherWAMENTAL HEALTH
17034300OtherWACHEMICAL DEPENDENCY

Other names 1

  • Catholic Community Services King County Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2249049Catholic Community Services of Western Washington100 23Rd Ave S, Seattle, WA 98144Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services WW34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

100 23rd Ave S
Seattle, WA 98144
Phone (206) 323-6336

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccsww/r4/

Practitioners & affiliated clinicians

Practitioners 4

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1003964545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 23RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442302",
            "telephone_number": "206-323-6336",
            "fax_number": "206-328-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 23RD AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98144",
            "telephone_number": "206-323-6336",
            "fax_number": "206-328-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COMPLIANCE & POLICY ANALYST",
        "authorized_official_telephone_number": "253-761-3898"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "081",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "081",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "081",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "081",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "17034300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "081",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY",
            "identifier": "17034300",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Community Services King County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.