Organization Active NPI

Caring Hearts Therapeutic Services LLC

  • Behavior Analyst
  • Yelm, WA
National Provider Identifier
1053851196
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11314334 Issued in NU
Legal business name
CARING HEARTS THERAPEUTIC SERVICES LLC
Practice address
15204 Carter Loop SE
Yelm, WA 98597-8573
Phone
(805) 504-5782
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Jack Konrat
Title
Ceo
Phone
(805) 504-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11314334 NU Primary

Addresses

Primary practice location

15204 Carter Loop SE
Yelm, WA 98597-8573

Mailing address

15204 Carter Loop SE
Yelm, WA 98597-8573
Phone (805) 504-5782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1053851196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15204 CARTER LOOP SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978573",
            "telephone_number": "805-504-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15204 CARTER LOOP SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978573",
            "telephone_number": "805-504-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "KONRAT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-504-5782"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "11314334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.