Organization Active NPI

Olympia Center for DBT, LLC

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1093053803
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OLYMPIA CENTER FOR DBT, LLC
Practice address
924 7TH Ave SE
Olympia, WA 98501-1548
Phone
(360) 338-0363
Fax
(360) 753-4308
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Beth Rogers, MA, LMHC
Title
Owner
Phone
(360) 294-0994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

924 7TH Ave SE
Olympia, WA 98501-1548

Mailing address

924 7TH Ave SE
Olympia, WA 98501-1548
Phone (360) 338-0363

National Provider Directory

National Provider Directory

Locations

924 7th Ave SE
Olympia, WA 98501
Phone (360) 338-0363

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1093053803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 7TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011548",
            "telephone_number": "360-338-0363",
            "fax_number": "360-753-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 7TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011548",
            "telephone_number": "360-338-0363",
            "fax_number": "360-753-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA CENTER FOR DBT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-294-0994",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.