NPIMap

Organization Active NPI

Friends of Youth

  • Case Management Agency
  • Snoqualmie, WA
National Provider Identifier
1114265915
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CP00005218 Issued in WA
Legal business name
FRIENDS OF YOUTH
Practice address
7972 Maple Ave SE
Snoqualmie, WA 98065
Phone
(425) 888-4151
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
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
Ginnett A Durham, CDPT
Title
Substance Abuse Treatment Counselor
Phone
(425) 888-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CP00005218 WA Primary

Addresses

Primary practice location

7972 Maple Ave SE
Snoqualmie, WA 98065

Mailing address

7972 Maple Ave SE
Snoqualmie, WA 98065
Phone (425) 888-4151

National Provider Directory

National Provider Directory
Tax ID family
Friends of Youth6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 3

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.

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": "1114265915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 MAPLE AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "425-888-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 MAPLE AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "425-888-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "GINNETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE TREATMENT COUNSELOR",
        "authorized_official_telephone_number": "425-888-4151",
        "authorized_official_credential": "CDPT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "CP00005218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, 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.