NPIMap

Organization Active NPI

Consejo Counseling and Referral Service - Lake City

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1073090858
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONSEJO COUNSELING AND REFERRAL SERVICE - LAKE CITY
Practice address
2611 NE 125TH St
Suite 145
Seattle, WA 98125-4373
Phone
(206) 461-4880
Fax
(206) 367-3199
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Mario Paredes
Title
Executive Director
Phone
(206) 461-4880

Specialties & licenses 1

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

Addresses

Primary practice location

2611 NE 125TH St
Suite 145
Seattle, WA 98125-4373

Mailing address

3808 S Angeline St
Seattle, WA 98118-1712
Phone (206) 461-4880

Other identifiers 1

IdentifierTypeStateIssuer
200187OtherWADBHR SITE LICENSE ID

National Provider Directory

National Provider Directory
Tax ID family
Consejo Counseling and Referral Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2611 NE 125th St
Ste 145
Seattle, WA 98125

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1073090858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S ANGELINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181712",
            "telephone_number": "206-461-4880",
            "fax_number": "206-461-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST",
            "address_2": "SUITE 145",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254373",
            "telephone_number": "206-461-4880",
            "fax_number": "206-367-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSEJO COUNSELING AND REFERRAL SERVICE - LAKE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-461-4880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR SITE LICENSE ID",
            "identifier": "200187",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.