Active NPI
Northwest Christian Counseling Service, LLC
- Adult Mental Health Clinic/Center
- University Place, WA
National Provider Identifier
1295333664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- NORTHWEST CHRISTIAN COUNSELING SERVICE, LLC
- Practice address
- 7406 27TH St W Ste 30
University Place, WA 98466-4637 - Phone
- (253) 861-2718
- Fax
- (253) 212-2852
- NPI assigned
- Oct 16, 2020
- 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
- Katherine Rose Brantley, MASTER OF SCIENCE
- Title
- LMHC/Sole Proprietor
- Phone
- (253) 861-2718
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
7406 27TH St W Ste 30
University Place, WA 98466-4637
Mailing address
2602 S 38TH St Unit 18
Tacoma, WA 98409-7303
Phone (253) 861-2718
National Provider Directory
National Provider DirectoryLocations
2602 S 38th St
Unit 18
Tacoma, WA 98409
5000 67th Ave W
University Place, WA 98467
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- University Place, WA
- NPI 1376712513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1295333664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 S 38TH ST UNIT 18",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097303",
"telephone_number": "253-861-2718",
"fax_number": "253-212-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7406 27TH ST W STE 30",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664637",
"telephone_number": "253-861-2718",
"fax_number": "253-212-2852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST CHRISTIAN COUNSELING SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-16",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "BRANTLEY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "LMHC/SOLE PROPRIETOR",
"authorized_official_telephone_number": "253-861-2718",
"authorized_official_credential": "MASTER OF SCIENCE"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.