NPIMap

Organization Active NPI

New Phoebe House Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
National Provider Identifier
1184159816
Registry record updated Sep 6, 2023
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
NEW PHOEBE HOUSE ASSOCIATION
Practice address
1001 Yakima Ave Ste 14
Tacoma, WA 98405-4869
Phone
(253) 267-5402
Fax
(253) 328-7301
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Rena Kay ThompsonNPI 1366953390
Title
Program Director
Phone
(253) 433-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1001 Yakima Ave Ste 14
Tacoma, WA 98405-4869

Mailing address

712 Martin Luther King Jr Way
PO Box 5245
Tacoma, WA 98405-4138
Phone (253) 383-7710

Other identifiers 1

IdentifierTypeStateIssuer
1184159816MedicaidWA

Other names 1

  • Holistic Recovery for Mothers Other name

National Provider Directory

National Provider Directory
Tax ID family
Holistic Recovery for Mothers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1001 Yakima Ave
Ste 14
Tacoma, WA 98405
Phone (253) 267-5402

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1184159816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MARTIN LUTHER KING JR WAY",
            "address_2": "PO BOX 5245",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054138",
            "telephone_number": "253-383-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 YAKIMA AVE STE 14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054869",
            "telephone_number": "253-267-5402",
            "fax_number": "253-328-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHOEBE HOUSE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "253-433-2321"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental 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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184159816",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Recovery for Mothers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Holistic Recovery for Mothers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.