Organization Active NPI

Resources United Supportive Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, WA
National Provider Identifier
1336990423
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESOURCES UNITED SUPPORTIVE SERVICE
Practice address
1801 1St Ave Ste 4a
Longview, WA 98632-3271
Phone
(520) 260-4584
NPI assigned
Mar 28, 2024
Organization subpart
Yes
Parent organization
RESOURCES UNITED SUPPORTIVE SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
R RussNPI 1023449634
Title
Counselor
Phone
(520) 260-4584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1801 1St Ave Ste 4a
Longview, WA 98632-3271

Mailing address

1548 River Rd
Longview, WA 98632-3293
Phone (520) 260-4584

Other practice location 1

1548 River Rd Unit 105
Longview, WA 98632-3293
Phone (520) 260-4584

National Provider Directory

National Provider Directory
Part of
Resources United Supportive Service

Locations

1801 1st Ave
Ste 4A
Longview, WA 98632
Phone (520) 260-4584

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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1336990423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 RIVER RD",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323293",
            "telephone_number": "520-260-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 1ST AVE STE 4A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323271",
            "telephone_number": "520-260-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1548 River Rd Unit 105",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323293",
            "country_code": "US",
            "telephone_number": "520-260-4584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESOURCES UNITED SUPPORTIVE SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESOURCES UNITED SUPPORTIVE SERVICE",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "R",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "520-260-4584"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.