Active NPI
Family Therapy and Recovery
- Community/Behavioral Health Agency
- Renton, WA
National Provider Identifier
1255724845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 17165700
- Legal business name
- FAMILY THERAPY AND RECOVERY
- Practice address
- 15 S Grady Way
Suite 249
Renton, WA 98057-3220 - Phone
- (206) 355-0648
- NPI assigned
- Mar 6, 2015
- 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
- Mr. Paul Hunziker, MA
- Title
- President
- Phone
- (206) 355-0648
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 17165700 | WA | Primary |
Addresses
Primary practice location
15 S Grady Way
Suite 249
Renton, WA 98057-3220
Mailing address
15 S Grady Way
Suite 249
Renton, WA 98057-3220
Phone (206) 355-0648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2040455 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Family Therapy and Recovery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tacoma, WA
- NPI 1093111205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Tacoma, WA
- NPI 1649555202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1255724845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S GRADY WAY",
"address_2": "SUITE 249",
"city": "RENTON",
"state": "WA",
"postal_code": "980573220",
"telephone_number": "206-355-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S GRADY WAY",
"address_2": "SUITE 249",
"city": "RENTON",
"state": "WA",
"postal_code": "980573220",
"telephone_number": "206-355-0648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY THERAPY AND RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "HUNZIKER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-355-0648",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "17165700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2040455",
"state": "WA"
}
],
"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 Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.