Centerforhumanservices

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0003520 Issued in WA

Legal business name

CENTERFORHUMANSERVICES

Practice address

17018 15TH Ave NE
Shoreline, WA 98155-5126

Phone

(206) 362-7282

Fax

(206) 362-7152

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Carolyn Elizabeth Holcomb, CDP

Title

Chemical Dependency Counselor

Phone

(205) 362-7282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1053750448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 3RD AVE S",
            "address_2": "NONE",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980208418",
            "telephone_number": "206-362-7282",
            "fax_number": "206-362-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17018 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555126",
            "telephone_number": "206-362-7282",
            "fax_number": "206-362-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERFORHUMANSERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "205-362-7282",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "0003520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY",
            "identifier": "0003520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Louis Cecsarini, CDP
• Center for Human Services
• Center for Human Services
• Center for Human Services
• Centered Care Nurse Delegation LLC
• Gerardo Cervantes-Naranjo
• Sondra Michelle Chamberlain
• Pamela Jo Champagne-L'Esperance, LMP
• Adeline Chan, D.P.T.
• David L Chan, MD

• Case Management Agency in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.