NPIMap

Organization Active NPI

Jennifer Croke Psychotherapy

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1275904245
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00009685 Issued in WA
Legal business name
JENNIFER CROKE PSYCHOTHERAPY
Practice address
5006 Varco Rd NE
Tacoma, WA 98422-1806
Phone
(917) 975-7712
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Ms. Jennifer CrokeNPI 1942690813
Title
Owner/Psychotherapist
Phone
(917) 975-7712

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
Community/Behavioral Health Agency 251S00000X 00009685 WA Primary

Addresses

Primary practice location

5006 Varco Rd NE
Tacoma, WA 98422-1806

Mailing address

5120 Varco Rd NE
Tacoma, WA 98422-1808
Phone (917) 975-7712

National Provider Directory

National Provider Directory

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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1275904245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221808",
            "telephone_number": "917-975-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 VARCO RD NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221806",
            "telephone_number": "917-975-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CROKE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "CROKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "917-975-7712",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "00009685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.