Organization Active NPI

Lourdes Cullum House

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1316515836
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 11, 2021

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.