Organization Active NPI

Playworks Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vancouver, WA
National Provider Identifier
1295372670
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PLAYWORKS COUNSELING, LLC
Practice address
4420 NE St Johns Rd Ste D
Vancouver, WA 98661-2561
Phone
(360) 605-2629
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Kelly Brachman, LICSWNPI 1962884478
Title
Child and Family Therapist
Phone
(360) 605-2629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

4420 NE St Johns Rd Ste D
Vancouver, WA 98661-2561

Mailing address

16420 SE McGillivray Blvd Ste 103-502
Vancouver, WA 98683-3461

National Provider Directory

National Provider Directory

Locations

16420 SE McGillivray Blvd
Ste 103502
Vancouver, WA 98683

4420 NE St Johns Rd
Ste D
Vancouver, WA 98661
Phone (360) 291-7187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1295372670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE MCGILLIVRAY BLVD STE 103-502",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 NE ST JOHNS RD STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612561",
            "telephone_number": "360-605-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYWORKS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "BRACHMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "360-605-2629",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.