Pacific Counseling Clinic, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008740 Issued in WA

Legal business name

PACIFIC COUNSELING CLINIC, INC.

Practice address

10049 Kitsap Mall Blvd NW
Ste. 203
Silverdale, WA 98383-8903

Phone

(360) 307-8700

Fax

(360) 692-6458

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christina M Knudson

Title

Office Manager

Phone

(360) 307-8700

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon H McKee, MSW

  • Clinical Social Worker
  • Silverdale, WA
  • NPI 1770539686
  NPD (past)
• Steven David Powell, MA

  • Marriage & Family Therapist
  • Silverdale, WA
  • NPI 1740320118
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1316037302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW",
            "address_2": "STE. 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838903",
            "telephone_number": "360-307-8700",
            "fax_number": "360-692-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 KITSAP MALL BLVD NW",
            "address_2": "STE. 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838903",
            "telephone_number": "360-307-8700",
            "fax_number": "360-692-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-307-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008740",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005406",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analeigh Michelle Otis, LMT
• Kyle Jonathan Ottenbacher, ATC
• Tara Kathryn Overstreet
• Marianne Papich Owen, OTR/L
• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Eyecare of Paulsbo PS (Pacific Optical)
• Pacific Northwest Healthcare (Occupational Medicine Associates of Kitsap)
• Pacific Pathology Partners, PLLC
• Pacific Physical Therapy PLLC
• Karen Alexandra Pacl, CCC-SLP

• Clinical Social Worker in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.