Active NPI
Human Services Research and Training Consortium
- Community/Behavioral Health Agency
- Lakewood, WA
National Provider Identifier
1053467944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 27036400
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1993989 | Medicaid | WA | |
| 1992510 | Medicaid | WA |
Other names 1
- Reflections Recovery and Learning Center
National Provider Directory
National Provider Directory- Tax ID family
- Human Services Research and Training Consortium
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Lakewood, WA
- NPI 1891915948
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.