Organization Active NPI

Human Services Research and Training Consortium

  • Community/Behavioral Health Agency
  • Lakewood, WA
National Provider Identifier
1053467944
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27036400 Issued in WA
Legal business name
HUMAN SERVICES RESEARCH AND TRAINING CONSORTIUM
Practice address
8907 Gravelly Lake Dr SW Ste D
Lakewood, WA 98499-3152
Phone
(253) 581-5556
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Ms. Cynthia Potts
Title
Ceo
Phone
(253) 581-5556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27036400 WA Primary
Community/Behavioral Health Agency 251S00000X 27124700 WA

Addresses

Primary practice location

8907 Gravelly Lake Dr SW Ste D
Lakewood, WA 98499-3152

Mailing address

8907 Gravelly Lake Dr SW Ste D
Lakewood, WA 98499-3152

Other identifiers 2

IdentifierTypeStateIssuer
1993989MedicaidWA
1992510MedicaidWA

Other names 1

  • Reflections Recovery and Learning Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Human Services Research and Training Consortium2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8907 Gravelly Lake Dr SW
Ste D
Lakewood, WA 98499
Phone (253) 581-5556

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1053467944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 GRAVELLY LAKE DR SW STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 GRAVELLY LAKE DR SW STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993152",
            "telephone_number": "253-581-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICES RESEARCH AND TRAINING CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-581-5556",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27036400",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27124700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993989",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Recovery and Learning Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.