Organization Active NPI

Reality Concepts

  • Community/Behavioral Health Agency
  • Port Orchard, WA
National Provider Identifier
1306274931
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LH 60344426 Issued in WA
Legal business name
REALITY CONCEPTS
Practice address
707 Sidney Pkwy Unit 14
Port Orchard, WA 98366-5318
Phone
(360) 471-4398
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
R Garth Retallick, MS, LMHC
Title
Owner/Therapist
Phone
(360) 471-4398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LH 60344426 WA Primary

Addresses

Primary practice location

707 Sidney Pkwy Unit 14
Port Orchard, WA 98366-5318

Mailing address

707 Sidney Pkwy
#14
Port Orchard, WA 98366-5318
Phone (360) 471-4398

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, 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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1306274931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SIDNEY PKWY",
            "address_2": "#14",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665318",
            "telephone_number": "360-471-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SIDNEY PKWY UNIT 14",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665318",
            "telephone_number": "360-471-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "RETALLICK",
        "authorized_official_first_name": "R GARTH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "360-471-4398",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LH 60344426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.