Organization Active NPI

Consejo Couseling and Referral Service - Bellevue

  • Community/Behavioral Health Agency
  • Bellevue, WA
National Provider Identifier
1366929762
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONSEJO COUSELING AND REFERRAL SERVICE - BELLEVUE
Practice address
13343 Bel-Red Road
Suite 210
Bellevue, WA 98005-2327
Phone
(425) 679-0801
Fax
(425) 679-0802
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Mario Paredes
Title
Executive Director
Phone
(206) 461-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X WA Primary

Addresses

Primary practice location

13343 Bel-Red Road
Suite 210
Bellevue, WA 98005-2327

Mailing address

3808 S Angeline St
Seattle, WA 98118-1712
Phone (206) 461-4880

Other identifiers 1

IdentifierTypeStateIssuer
200186OtherWADBHR SITE LICENSE ID

National Provider Directory

National Provider Directory
Tax ID family
Consejo Counseling and Referral Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1366929762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 S ANGELINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181712",
            "telephone_number": "206-461-4880",
            "fax_number": "206-461-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13343 BEL-RED ROAD",
            "address_2": "SUITE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052327",
            "telephone_number": "425-679-0801",
            "fax_number": "425-679-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSEJO COUSELING AND REFERRAL SERVICE - BELLEVUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-461-4880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR SITE LICENSE ID",
            "identifier": "200186",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.