NPIMap

Organization Active NPI

Counseling Centers of North Puget Sound

  • Professional Counselor
  • Snohomish, WA
National Provider Identifier
1376673566
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
601249571 Issued in WA
Legal business name
COUNSELING CENTERS OF NORTH PUGET SOUND
Practice address
1306 Lake View Ave
Snohomish, WA 98290-1844
Phone
(360) 568-8737
Fax
(360) 568-1654
NPI assigned
Mar 6, 2007
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Douglas P Chandler, L.I.C.S.WNPI 1952493306
Title
Executive Director
Phone
(360) 708-9595

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 601249571 WA Primary

Addresses

Primary practice location

1306 Lake View Ave
Snohomish, WA 98290-1844

Mailing address

1306B Lake View Ave
Snohomish, WA 98290-1844
Phone (360) 568-8737

Other names 1

  • Presbyterian Counseling Service North, A Samaritan Counseling Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000860 WA Part B Supplier - Clinic/Group Practice 3375433741 Receives reassigned benefits from 6 practitioners
Practice locations: Snohomish, WA; Mountlake Terrace, WA; Lake Forest Park, WA; Everett, WA; Mount Vernon, WA

National Provider Directory

National Provider Directory

Locations

2936 Rockefeller Ave
Everett, WA 98201
Phone (360) 568-8737

17440 Brookside Blvd NE
Lake Forest Park, WA 98155
Phone (206) 348-2744

1511 E Broadway
Mount Vernon, WA 98274
Phone (360) 424-4296

4700 228th St SW
Mountlake Terrace, WA 98043
Phone (360) 568-8737

18826 3rd Ave NW
Shoreline, WA 98177
Phone (206) 366-1332

1306 Lake View Ave
Snohomish, WA 98290
Phone (206) 366-9384

1306B Lake View Ave
Snohomish, WA 98290
Phone (360) 568-8737

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1376673566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306B LAKE VIEW AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 LAKE VIEW AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901844",
            "telephone_number": "360-568-8737",
            "fax_number": "360-568-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTERS OF NORTH PUGET SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-708-9595",
        "authorized_official_credential": "L.I.C.S.W"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "601249571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Counseling Service North, A Samaritan Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Presbyterian Counseling Service North, A Samaritan Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.