NPIMap

Organization Active NPI

Connections Counseling Services NW LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Federal Way, WA
National Provider Identifier
1275007627
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CONNECTIONS COUNSELING SERVICES NW LLC
Practice address
33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735
Phone
(253) 431-9739
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Jennifer King, LICSW CCTPNPI 1609389931
Title
Owner/Clinical Supervisor
Phone
(253) 431-9739

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)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735

Mailing address

33720 9TH Ave S Ste 7
Federal Way, WA 98003-6735
Phone (253) 431-9739

Other practice location 1

5900 100th St SW Ste 17B
Lakewood, WA 98499-2749
Phone (253) 431-9739

Other identifiers 1

IdentifierTypeStateIssuer
2094419MedicaidWA

National Provider Directory

National Provider Directory

Locations

33720 9th Ave S
Ste 7
Federal Way, WA 98003
Phone (253) 431-9739

5900 100th St SW
Ste 17B
Lakewood, WA 98499
Phone (253) 431-9739

Practitioners & affiliated clinicians

Practitioners 6

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1275007627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33720 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036735",
            "telephone_number": "253-431-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33720 9TH AVE S STE 7",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036735",
            "telephone_number": "253-431-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 100th St SW Ste 17B",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984992749",
            "country_code": "US",
            "telephone_number": "253-431-9739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING SERVICES NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "253-431-9739",
        "authorized_official_credential": "LICSW CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.