Active NPI
Young Womens Christian Association of Seattle King County Snohomis Cou
- Community/Behavioral Health Agency
- Lynnwood, WA
National Provider Identifier
1215358676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 287
- Legal business name
- YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU
- Practice address
- 19703 68TH Avenue West
Lynnwood, WA 98036-4505 - Phone
- (425) 412-2360
- Fax
- (425) 412-2379
- NPI assigned
- Jan 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan D. Sherbrooke
- Title
- Chief Executive Officer
- Phone
- (206) 461-4851
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 287 | WA | |
| Case Management Agency | 251B00000X | 249 | WA | |
| Community/Behavioral Health Agency | 251S00000X | 287 | WA | Primary |
| Community/Behavioral Health Agency | 251S00000X | 249 | WA |
Addresses
Primary practice location
19703 68TH Avenue West
Lynnwood, WA 98036-4505
Mailing address
1118 5TH Ave
Seattle, WA 98101-3001
Phone (206) 461-4888
National Provider Directory
National Provider Directory- Tax ID family
- Young Womens Christian Association of Seattle King County Snohomis Cou
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1750805115
Locations
19703 68th Ave W
Lynnwood, WA 98036
Phone (425) 412-2360
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Lynnwood, WA
- NPI 1316463631
-
- Mental Health Counselor
- Lynnwood, WA
- NPI 1851701775
-
- Mental Health Counselor
- Lynnwood, WA
- NPI 1083033567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1215358676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 5TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981013001",
"telephone_number": "206-461-4888",
"fax_number": "206-461-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19703 68TH AVENUE WEST",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364505",
"telephone_number": "425-412-2360",
"fax_number": "425-412-2379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "SHERBROOKE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "206-461-4851",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WA",
"license": "287",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WA",
"license": "249",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "287",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.