NPIMap

Organization Active NPI

Consejo Counseling and Referral Service - Kent

  • Community/Behavioral Health Agency
  • Kent, WA
National Provider Identifier
1386939593
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 COUNSELING AND REFERRAL SERVICE - KENT
Practice address
515 W Harrison St Ste 109
Kent, WA 98032-4403
Phone
(253) 856-9000
Fax
(253) 520-6647
NPI assigned
Jun 15, 2011
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

515 W Harrison St Ste 109
Kent, WA 98032-4403

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
149500OtherWADBHR 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.

Locations

515 W Harrison St
Ste 109
Kent, WA 98032
Phone (253) 579-1998

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1386939593",
    "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": "515 W HARRISON ST STE 109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324403",
            "telephone_number": "253-856-9000",
            "fax_number": "253-520-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSEJO COUNSELING AND REFERRAL SERVICE - KENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "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": "149500",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, 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.