NPIMap

Organization Active NPI

LDS Family Services

  • Community/Behavioral Health Agency
  • Renton, WA
National Provider Identifier
1184974362
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LDS FAMILY SERVICES
Practice address
220 S 3Rd PL
Renton, WA 98057-2405
Phone
(425) 228-0074
Fax
(428) 226-2831
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Ms. Nickie Wood, LMHC, LMFTNPI 1821201534
Title
Counseling Manager
Phone
(425) 228-0074

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 1

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

Addresses

Primary practice location

220 S 3Rd PL
Renton, WA 98057-2405

Mailing address

220 S 3Rd PL
Renton, WA 98057-2405

National Provider Directory

National Provider Directory
Tax ID family
LDS Family Services46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

220 S 3rd Pl
Renton, WA 98057
Phone (425) 228-0074

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1184974362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 3RD PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 3RD PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572405",
            "telephone_number": "425-228-0074",
            "fax_number": "428-226-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "NICKIE",
        "authorized_official_title_or_position": "COUNSELING MANAGER",
        "authorized_official_telephone_number": "425-228-0074",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.