Organization Active NPI

Ibg Counseling and Educational Center, Inc

  • Case Management Agency
  • Tacoma, WA
National Provider Identifier
1356744460
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
602485247 Issued in WA
Legal business name
IBG COUNSELING AND EDUCATIONAL CENTER, INC
Practice address
10202 Pacific Ave S Ste 208
Tacoma, WA 98444-6573
Phone
(253) 970-6499
Fax
(253) 581-0927
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Felita Hannah Poole, MA
Title
Director
Phone
(253) 970-6499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 602485247 WA Primary

Addresses

Primary practice location

10202 Pacific Ave S Ste 208
Tacoma, WA 98444-6573

Mailing address

10202 Pacific Ave S Ste 208
Tacoma, WA 98444-6573
Phone (253) 970-6499

National Provider Directory

National Provider Directory

Locations

10202 Pacific Ave S
Ste 208
Tacoma, WA 98444
Phone (253) 970-6499

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1356744460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 PACIFIC AVE S STE 208",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446573",
            "telephone_number": "253-970-6499",
            "fax_number": "253-581-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 PACIFIC AVE S STE 208",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446573",
            "telephone_number": "253-970-6499",
            "fax_number": "253-581-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBG COUNSELING AND EDUCATIONAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "FELITA",
        "authorized_official_middle_name": "HANNAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-970-6499",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "602485247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.