Organization Active NPI

Northwest Christian Counseling Service, LLC

  • Adult Mental Health Clinic/Center
  • University Place, WA
National Provider Identifier
1295333664
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Katherine Rose Brantley, MASTER OF SCIENCENPI 1376712513
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.