Active NPI
Lourdes Cullum House
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1316515836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LOURDES CULLUM HOUSE
- Practice address
- 208 Cullum Ave
Richland, WA 99352-4534 - Phone
- (509) 946-5918
- NPI assigned
- Jun 11, 2021
- 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
- Bethany Hale, LICSWA, DCR
- Title
- Outpatient Manager
- Phone
- (509) 943-9104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
208 Cullum Ave
Richland, WA 99352-4534
Mailing address
404 Newcomer St
Richland, WA 99354-2242
Phone (509) 952-0312
Other practice location 1
404 Newcomer St
Richland, WA 99354-2242
Phone (509) 952-0312
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Richland, WA
- NPI 1033786512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1316515836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 NEWCOMER ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542242",
"telephone_number": "509-952-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CULLUM AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524534",
"telephone_number": "509-946-5918"
}
],
"practiceLocations": [
{
"address_1": "404 Newcomer St",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993542242",
"country_code": "US",
"telephone_number": "509-952-0312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LOURDES CULLUM HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "OUTPATIENT MANAGER",
"authorized_official_telephone_number": "509-943-9104",
"authorized_official_credential": "LICSWA, DCR"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.