Active NPI
Community Resource Group
- Addiction (Substance Use Disorder) Counselor
- Yakima, WA
National Provider Identifier
1467592659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 39108100
- Legal business name
- COMMUNITY RESOURCE GROUP
- Practice address
- 505 N 4TH St
Suite # 7
Yakima, WA 98901-2435 - Phone
- (509) 965-5310
- Fax
- (509) 210-2436
- NPI assigned
- Feb 7, 2007
- Last updated
- Jan 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty M Hames, BS,CDP
- Title
- Director
- Phone
- (509) 965-9310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 39108100 | WA | Primary |
Addresses
Primary practice location
505 N 4TH St
Suite # 7
Yakima, WA 98901-2435
Mailing address
505 N 4TH St
Suite # 7
Yakima, WA 98901-2435
Phone (509) 965-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0712-12459 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
505 N 4th St
Ste 7
Yakima, WA 98901
Phone (509) 965-5310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263427200000",
"number": "1467592659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N 4TH ST",
"address_2": "SUITE # 7",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012435",
"telephone_number": "509-965-5310",
"fax_number": "509-210-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N 4TH ST",
"address_2": "SUITE # 7",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012435",
"telephone_number": "509-965-5310",
"fax_number": "509-210-2436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY RESOURCE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2010-01-14",
"status": "A",
"authorized_official_last_name": "HAMES",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "509-965-9310",
"authorized_official_credential": "BS,CDP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "39108100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0712-12459",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
- Community Health of Central Washington (Central Washington Family Medicine Pharmacy)
- Community Health of Central Washington
- Community Health of Central Washington (Central Washington Family Medicine)
- Community Health of Central Washington (Yakima Pediatrics Pharmacy)
- Community Health of Central Washington (CHCW 401)
- Community Vascular Washington, PLLC
- Compassion Family Medicine, PLLC
- Comprehensive Healthcare
- Comprehensive Healthcare
- Comprehensive Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.