Organization Active NPI

Ferguson Counseling and Consulting Services, LLC

  • Clinical Social Worker
  • Richland, WA
National Provider Identifier
1023780475
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FERGUSON COUNSELING AND CONSULTING SERVICES, LLC
Practice address
660 George Washington Way Ste D
Richland, WA 99352-4246
Phone
(509) 438-7139
Fax
(509) 713-7015
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Mr. Lee Robert Ferguson, LICSWNPI 1336402643
Title
Owner/Agent
Phone
(509) 438-7139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

660 George Washington Way Ste D
Richland, WA 99352-4246

Mailing address

PO Box 5582
Pasco, WA 99302-5501
Phone (509) 438-7139

Other names 1

  • Ferguson Counseling and Consulting Services, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.myclientsplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211007001474 WA Part B Supplier - Clinic/Group Practice 1658779582 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

660 George Washington Way
Ste D
Richland, WA 99352
Phone (509) 438-7139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1023780475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5582",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993025501",
            "telephone_number": "509-438-7139",
            "fax_number": "509-713-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GEORGE WASHINGTON WAY STE D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524246",
            "telephone_number": "509-438-7139",
            "fax_number": "509-713-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "509-438-7139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.myclientsplus.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "660 George Washington Way Ste D",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ferguson Counseling and Consulting Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ferguson Counseling and Consulting Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.