NPIMap

Organization Active NPI

Consejo Counseling and Referral Service - Shelton

  • Community/Behavioral Health Agency
  • Shelton, WA
National Provider Identifier
1184101966
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONSEJO COUNSELING AND REFERRAL SERVICE - SHELTON
Practice address
627 W Franklin St
Shelton, WA 98584-3504
Phone
(360) 763-5610
Fax
(360) 462-0449
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Shana Boschma
Title
Is Director
Phone
(206) 461-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X WA Primary

Addresses

Primary practice location

627 W Franklin St
Shelton, WA 98584-3504

Mailing address

3808 S Angeline St
Seattle, WA 98118-1712
Phone (206) 461-4880

Other practice location 1

23291 NE State Route 3 Bldg A-1
Belfair, WA 98528-9324
Phone (206) 461-4880

Other identifiers 1

IdentifierTypeStateIssuer
200488OtherWADBHR SITE LICENSE ID

National Provider Directory

National Provider Directory
Tax ID family
Consejo Counseling and Referral Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

23291 NE State Route 3
Bldg A1
Belfair, WA 98528

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1184101966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S ANGELINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181712",
            "telephone_number": "206-461-4880",
            "fax_number": "206-461-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843504",
            "telephone_number": "360-763-5610",
            "fax_number": "360-462-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23291 NE State Route 3 Bldg A-1",
            "address_purpose": "LOCATION",
            "city": "Belfair",
            "state": "WA",
            "postal_code": "985289324",
            "country_code": "US",
            "telephone_number": "206-461-4880",
            "fax_number": "206-461-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSEJO COUNSELING AND REFERRAL SERVICE - SHELTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BOSCHMA",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "IS DIRECTOR",
        "authorized_official_telephone_number": "206-461-4880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR SITE LICENSE ID",
            "identifier": "200488",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.