NPIMap

Organization Active NPI

Life Affirming Psychotherapy, PC

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1346898871
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFE AFFIRMING PSYCHOTHERAPY, PC
Practice address
108 SE 124TH Ave
Vancouver, WA 98684
Phone
(360) 253-3641
Fax
(360) 885-4944
NPI assigned
Aug 28, 2019
Organization subpart
Yes
Parent organization
LIFE AFFIRMING PSYCHOTHERAPY,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Susan Robinson
Title
President/Owner
Phone
(360) 253-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

108 SE 124TH Ave
Vancouver, WA 98684

Mailing address

108 SE 124TH Ave
Vancouver, WA 98684
Phone (360) 253-3641

National Provider Directory

National Provider Directory
Part of
Life Affirming Psychotherapy PC

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1346898871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-253-3641",
            "fax_number": "360-885-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-253-3641",
            "fax_number": "360-885-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AFFIRMING PSYCHOTHERAPY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE AFFIRMING PSYCHOTHERAPY,PC",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-253-3641"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.