NPIMap

Organization Active NPI

Creative Change Counseling Center

  • Counselor
  • Renton, WA
National Provider Identifier
1386068617
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CL60152004 Issued in WA
Legal business name
CREATIVE CHANGE COUNSELING CENTER
Practice address
200 S Tobin St Ste a
Renton, WA 98057-5338
Phone
(425) 255-5526
Fax
(425) 255-5523
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Katie Wilson
Title
Admin Asst
Phone
(425) 255-5526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X CL60152004 WA Primary
Community/Behavioral Health Agency 251S00000X CL60152004 WA

Addresses

Primary practice location

200 S Tobin St Ste a
Renton, WA 98057-5338

Mailing address

PO Box 4158
Renton, WA 98057-4158
Phone (425) 255-5526

National Provider Directory

National Provider Directory
Tax ID family
Creative Change Counseling Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1386068617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4158",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574158",
            "telephone_number": "425-255-5526",
            "fax_number": "425-255-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TOBIN ST STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575338",
            "telephone_number": "425-255-5526",
            "fax_number": "425-255-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHANGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "425-255-5526"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "CL60152004",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CL60152004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.