Organization Active NPI

Centerpoint Counseling PC

  • Clinical Social Worker
  • North Bend, WA
National Provider Identifier
1477363943
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CENTERPOINT COUNSELING PC
Practice address
301 W North Bend Way Ste 100C
North Bend, WA 98045-8163
Phone
(425) 202-5653
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Stacie Beam-Bruce, LICSWNPI 1841599909
Title
Director/Social Worker
Phone
(425) 202-5653

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

301 W North Bend Way Ste 100C
North Bend, WA 98045-8163

Mailing address

14624 448TH Ave SE
North Bend, WA 98045-9768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250529003101 WA Part B Supplier - Clinic/Group Practice 4284143579 Receives reassigned benefits from 1 practitioner
Practice locations: North Bend, WA

National Provider Directory

National Provider Directory

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1477363943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 448TH AVE SE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W NORTH BEND WAY STE 100C",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458163",
            "telephone_number": "425-202-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINT COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BEAM-BRUCE",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "DIRECTOR/SOCIAL WORKER",
        "authorized_official_telephone_number": "425-202-5653",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.