Robert P. Devries P.S. Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ROBERT P. DEVRIES P.S. INC

Practice address

1610 Grover St. C-5
Lynden, WA 98264-1539

Phone

(360) 354-1234

Fax

(360) 354-7752

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Robert Phillip Devries, LICSW

Title

Owner

Phone

(360) 354-1234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Roberta Susan Jaffe, ACSW, BCD, LICSW

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1184726754
  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1205139045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST. C-5",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-1234",
            "fax_number": "360-354-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST. C-5",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-1234",
            "fax_number": "360-354-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. DEVRIES P.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-354-1234",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Rankin
• Lucya Rasmussen
• Reclaim Counseling Associates LLC
• Resource Counseling PLLC
• Lauree Renee Reyna, RN
• Marissa Robertson
• Stacia Laine Robinson, DPT
• Jane Talton Rogers, CCC-SLP M.S.
• Serena Rovin
• Kevin J Rupp, DPT

• Mental Health Counselor in Lynden, WA
• Providers in Lynden, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.