Organization Active NPI

Community Resource Group

  • Addiction (Substance Use Disorder) Counselor
  • Yakima, WA
National Provider Identifier
1467592659
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
39108100 Issued in WA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0712-12459MedicaidWA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.