Organization Active NPI

Key Peninsula Counseling Center

  • Marriage & Family Therapist
  • Lakebay, WA
National Provider Identifier
1073996278
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60268040 Issued in WA
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

Updated by the provider on Jul 7, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LH60544428 WA
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.