Organization Active NPI

Clear Winds Counseling Counsulting Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deer Park, WA
National Provider Identifier
1164607206
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAR WINDS COUNSELING COUNSULTING GROUP, LLC
Practice address
116 N Main St
Deer Park, WA 99006-2294
Phone
(509) 939-7720
Fax
(509) 276-2774
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. Derac L Krumm, MA MHCT ADMIN
Title
Admin Partner
Phone
(509) 939-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X WA Primary

Addresses

Primary practice location

116 N Main St
Deer Park, WA 99006-2294

Mailing address

PO Box 2294
116 N Main
Deer Park, WA 99006-2294
Phone (509) 939-7720

National Provider Directory

National Provider Directory

Locations

116 N Main St
Deer Park, WA 99006
Phone (509) 939-7720

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1164607206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2294",
            "address_2": "116 N MAIN",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990062294",
            "telephone_number": "509-939-7720",
            "fax_number": "509-276-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990062294",
            "telephone_number": "509-939-7720",
            "fax_number": "509-276-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WINDS COUNSELING COUNSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KRUMM",
        "authorized_official_first_name": "DERAC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN PARTNER",
        "authorized_official_telephone_number": "509-939-7720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA MHCT ADMIN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.