NPIMap

Organization Active NPI

Bellevue Community Services

  • Community/Behavioral Health Agency
  • Bellevue, WA
National Provider Identifier
1396017703
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
602228527 Issued in WA
Legal business name
BELLEVUE COMMUNITY SERVICES
Practice address
1160 140TH Ave NE
Ste F
Bellevue, WA 98005-2978
Phone
(425) 454-0616
Fax
(425) 637-1289
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
John William Lennon, ED.DNPI 1548521404
Title
Clinical Director
Phone
(425) 454-0616

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
Community/Behavioral Health Agency 251S00000X 602228527 WA Primary

Addresses

Primary practice location

1160 140TH Ave NE
Ste F
Bellevue, WA 98005-2978

Mailing address

1160 140TH Ave NE
Ste F
Bellevue, WA 98005-2978
Phone (425) 454-0616

National Provider Directory

National Provider Directory

Locations

1160 140th Ave NE
Ste F
Bellevue, WA 98005
Phone (425) 283-1313

Practitioners & affiliated clinicians

Practitioners 4

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": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1396017703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 140TH AVE NE",
            "address_2": "STE F",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052978",
            "telephone_number": "425-454-0616",
            "fax_number": "425-637-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 140TH AVE NE",
            "address_2": "STE F",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052978",
            "telephone_number": "425-454-0616",
            "fax_number": "425-637-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "LENNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "425-454-0616",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "602228527",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 31, 2012; 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.