Active NPI
Sandbox Child and Family Counseling, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Selah, WA
National Provider Identifier
1265952113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SANDBOX CHILD AND FAMILY COUNSELING, PLLC
- Practice address
- 107 W Orchard Ave
Selah, WA 98942-1329 - Phone
- (509) 833-6669
- Fax
- (206) 641-7233
- NPI assigned
- Jun 22, 2017
- 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
- Mrs. Magen Holgate, MSW
- Title
- Owner
- Phone
- (509) 833-6669
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW60421748 | WA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
107 W Orchard Ave
Selah, WA 98942-1329
Mailing address
107 W Orchard Ave
Selah, WA 98942-1329
Phone (509) 833-6669
Other names 1
- Sandbox Counseling
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1265952113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W ORCHARD AVE",
"city": "SELAH",
"state": "WA",
"postal_code": "989421329",
"telephone_number": "509-833-6669",
"fax_number": "206-641-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W ORCHARD AVE",
"city": "SELAH",
"state": "WA",
"postal_code": "989421329",
"telephone_number": "509-833-6669",
"fax_number": "206-641-7233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDBOX CHILD AND FAMILY COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HOLGATE",
"authorized_official_first_name": "MAGEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-833-6669",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW60421748",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandbox Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Selah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.