NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
National Provider Identifier
1073726485
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services wA Seattle Agency
Practice address
1201 Monster Rd SW
Renton, WA 98057-2996
Phone
(855) 537-1000
Fax
(425) 226-2531
NPI assigned
May 8, 2007
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Brian S Poelman
Title
Cbo MGR
Phone
(855) 537-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 87-0489353 WA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1201 Monster Rd SW
Renton, WA 98057-2996

Mailing address

125 N State St
Salt Lake City, UT 84150-0602
Phone (855) 537-1000

Other names 1

  • LDS Family Services wA Seattle Agency Doing business as

National Provider Directory

National Provider Directory
Part of
LDS Family Services

Locations

7055 W Bell Rd
Ste 21
Glendale, AZ 85308
Phone (623) 487-3444

235 S El Dorado Cir
Mesa, AZ 85202
Phone (480) 968-2995

641 S Main St
Snowflake, AZ 85937
Phone (928) 536-4117

1200 N El Dorado Pl
Ste F620
Tucson, AZ 85715
Phone (520) 777-5609

2202 N Main St
Ste 301
Cedar City, UT 84721
Phone (435) 586-4479

94 E Pages Ln
#A
Centerville, UT 84014
Phone (801) 294-0578

1466 N Highway 89
Ste 220
Farmington, UT 84025
Phone (801) 336-6363

175 W 1400 N
Logan, UT 84341
Phone (435) 752-5302

635 N Main St
Ste 681
Richfield, UT 84701
Phone (435) 896-6446

833 E 9400 S
Sandy, UT 84094
Phone (801) 556-2556

724 E 2100 S
Ste B
South Salt Lake, UT 84106
Phone (801) 487-0499

1201 Monster Rd SW
Renton, WA 98057
Phone (855) 537-1000

1201 Monster Rd SW
Ste 250
Renton, WA 98057
Phone (425) 228-0074

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 284

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 284

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1073726485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841500602",
            "telephone_number": "855-537-1000",
            "fax_number": "801-240-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MONSTER RD SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572996",
            "telephone_number": "855-537-1000",
            "fax_number": "425-226-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-05-08",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "POELMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CBO MGR",
        "authorized_official_telephone_number": "855-537-1000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "87-0489353",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services wA Seattle Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.