Organization Active NPI

Parent to Parent Support Program of Thurston County

  • Early Intervention Provider Agency
  • Olympia, WA
National Provider Identifier
1215440128
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PARENT TO PARENT SUPPORT PROGRAM OF THURSTON COUNTY
Practice address
2108 Caton Way SW
Olympia, WA 98502-1105
Phone
(360) 352-1126
Fax
(360) 352-0761
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Michelle Bosley
Title
Biller
Phone
(360) 358-5108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2108 Caton Way SW
Olympia, WA 98502-1105

Mailing address

2108 Caton Way SW
Olympia, WA 98502-1105
Phone (360) 352-1126

Other identifiers 1

IdentifierTypeStateIssuer
2063227MedicaidWA

National Provider Directory

National Provider Directory

Locations

1012 Homann Dr SE
Lacey, WA 98503
Phone (360) 545-2091

Practitioners & affiliated clinicians

Practitioners 1

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1215440128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-352-1126",
            "fax_number": "360-352-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 CATON WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021105",
            "telephone_number": "360-352-1126",
            "fax_number": "360-352-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT TO PARENT SUPPORT PROGRAM OF THURSTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "360-358-5108"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063227",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.