NPIMap

Organization Active NPI

Children's Home Society

  • Adolescent and Children Mental Health Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1376056796
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
CG60549819 Issued in WA
Legal business name
CHILDREN'S HOME SOCIETY
Practice address
1014 Walla Walla Ave
Wenatchee, WA 98801-1523
Phone
(509) 663-0034
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Ms. Ana Lilia Gonzalez
Title
Wise Coordinator
Phone
(509) 663-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CG60549819 WA Primary

Addresses

Primary practice location

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Mailing address

1014 Walla Walla Ave
Wenatchee, WA 98801-1523
Phone (509) 663-0034

Other identifiers 1

IdentifierTypeStateIssuer
CG60549819OtherWACOUNSELOR AGENCY AFFILIATED REGISTRATION

National Provider Directory

National Provider Directory

Locations

1014 Walla Walla Ave
Wenatchee, WA 98801
Phone (509) 663-0034

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1376056796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "509-663-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LILIA",
        "authorized_official_title_or_position": "WISE COORDINATOR",
        "authorized_official_telephone_number": "509-663-0034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "CG60549819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR AGENCY AFFILIATED REGISTRATION",
            "identifier": "CG60549819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.