Northwest Credible Messengers LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

NORTHWEST CREDIBLE MESSENGERS LLC

Practice address

500 S 336TH St Ste 102
Federal Way, WA 98003-6389

Phone

(206) 261-2410

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Jason J ClarkNPI 1518685965

Title

Executive Director

Phone

(206) 261-2410

Specialties & licenses 7

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason J Clark, CPC

  • Peer Specialist
  • Federal Way, WA
  • NPI 1518685965
  NPD Authorized official
• Khalia Monique Williams-O'Neal

  • Peer Specialist
  • Federal Way, WA
  • NPI 1790403368

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1114645868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 LANYARD DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161333",
            "telephone_number": "206-261-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 336TH ST STE 102",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036389",
            "telephone_number": "206-261-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CREDIBLE MESSENGERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-261-2410"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Mark Nordlie, DDS
• Mark D Nordlie, DDS
• Norma Therapy Group, PLLC
• Courtney Norman, PT, DPT
• Northwest Chiropractic, Inc.
• Northwest Dental PLLC
• Northwest Kidney Centers (Federal Way East)
• Northwest Kidney Centers (Federal Way West Campus Kidney Center)
• Northwest Observation Associates PC
• Northwest Physician Associates, Apc

• Peer Specialist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.