Active NPI
Playworks Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2019
- 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
- Kelly Brachman, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Vancouver, WA
- NPI 1962884478
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.