Active NPI
Key Peninsula Counseling Center
- Marriage & Family Therapist
- Lakebay, WA
National Provider Identifier
1073996278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60268040
- Legal business name
- KEY PENINSULA COUNSELING CENTER
- Practice address
- 8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326 - Phone
- (253) 884-3644
- Fax
- (253) 884-2632
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Hunter Beaver, LMFT
- Title
- Owner/Therapist
- Phone
- (253) 884-3644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60544428 | WA | |
| Marriage & Family Therapist | 106H00000X | LF60268040 | WA | Primary |
Addresses
Primary practice location
8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326
Mailing address
8903 Key Peninsula Hwy N
Lakebay, WA 98349-9326
Phone (253) 884-3644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1073996278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8903 KEY PENINSULA HWY N",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983499326",
"telephone_number": "253-884-3644",
"fax_number": "253-884-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8903 KEY PENINSULA HWY N",
"city": "LAKEBAY",
"state": "WA",
"postal_code": "983499326",
"telephone_number": "253-884-3644",
"fax_number": "253-884-2632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY PENINSULA COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "BEAVER",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "253-884-3644",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60544428",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60268040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakebay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.