Organization Active NPI

Outsource 99, LLC

  • Counselor
  • Gig Harbor, WA
National Provider Identifier
1467041764
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
OUTSOURCE 99, LLC
Practice address
11515 Burnham Dr # 104F
Gig Harbor, WA 98332-8543
Phone
(253) 279-7509
Fax
(253) 242-9801
NPI assigned
Jan 12, 2021
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Jan Lindholm, LMHC, LRCP, MAC, BC-NPI 1336155324
Title
Counselor
Phone
(253) 279-7509

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

11515 Burnham Dr # 104F
Gig Harbor, WA 98332-8543

Mailing address

PO Box 1053
Gig Harbor, WA 98335-3053
Phone (253) 279-7509

Other names 1

  • Jan Lindholm, LMHC Former legal business name

National Provider Directory

National Provider Directory

Locations

11515 Burnham Dr
#104F
Gig Harbor, WA 98332
Phone (253) 279-7509

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1467041764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983353053",
            "telephone_number": "253-279-7509",
            "fax_number": "253-242-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 BURNHAM DR # 104F",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328543",
            "telephone_number": "253-279-7509",
            "fax_number": "253-242-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSOURCE 99, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "LINDHOLM",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "253-279-7509",
        "authorized_official_credential": "LMHC, LRCP, MAC, BC-"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jan Lindholm, LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.