Rites of Passage NW LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60344737 Issued in WA

Legal business name

RITES OF PASSAGE NW LLC

Practice address

142 E Strong Rd
Shelton, WA 98584-8861

Phone

(360) 296-3040

Fax

(650) 456-3040

NPI assigned

Jan 31, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Nathan A Welch

Title

Director

Phone

(360) 296-3040

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1053701854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E STRONG RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848861",
            "telephone_number": "360-296-3040",
            "fax_number": "650-456-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E STRONG RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848861",
            "telephone_number": "360-296-3040",
            "fax_number": "650-456-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITES OF PASSAGE NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-296-3040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60344737",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60258150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Carol Ribera, PA-C
• John Val Rice, DPM
• Daniel Spencer Richards, LPN
• Theresa Richards, CDP
• Clare Marie Richardson
• Renee Carol Roadruck, RPH
• Nedra Denise Robertson
• Jennifer Jane Robinson, MD
• Weston Robinson
• Gina Marie Rockwell, P.T.A

• Mental Health Counselor in Shelton, WA
• Providers in Shelton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.