NPIMap

Organization Active NPI

Thurston Mason Behavioral Health Organization

Doing business as Olympic Health and Recovery Services

  • Community/Behavioral Health Agency
  • Lacey, WA
National Provider Identifier
1265932198
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
603569721 Issued in WA
Legal business name
THURSTON MASON BEHAVIORAL HEALTH ORGANIZATION
Doing business as
Olympic Health and Recovery Services
Practice address
612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070
Phone
(360) 763-5828
NPI assigned
Feb 16, 2018
Last updated
Feb 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mark Freedman, LICSW
Title
Administrator
Phone
(360) 507-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 603569721 WA Primary

Addresses

Primary practice location

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070

Mailing address

612 Woodland Square Loop SE Ste 401
Lacey, WA 98503-1070
Phone (360) 763-5828

Other names 1

  • Olympic Health and Recovery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olympic Health and Recovery Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 70

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 70

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1265932198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WOODLAND SQUARE LOOP SE STE 401",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031070",
            "telephone_number": "360-763-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WOODLAND SQUARE LOOP SE STE 401",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031070",
            "telephone_number": "360-763-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THURSTON MASON BEHAVIORAL HEALTH ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-507-2710",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "603569721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Health and Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.