NPIMap

Organization Active NPI

Develop Minded Therapies

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1497252019
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVELOP MINDED THERAPIES
Practice address
4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Phone
(253) 750-2664
Fax
(253) 215-4426
NPI assigned
Apr 10, 2018
Organization subpart
Yes
Parent organization
DEVELOP MINDED THERAPIES (GENERAL)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Mr. Dathan LaneNPI 1629384375
Title
Owner/Agent
Phone
(253) 750-2664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4040 S Tyler St Ste 9
Tacoma, WA 98409-2143

Mailing address

4040 S Tyler St Ste 9
Tacoma, WA 98409-2143
Phone (253) 750-2664

National Provider Directory

National Provider Directory
Tax ID family
Develop Minded Therapies3 organizations share this tax ID, including this one
Part of
Develop Minded Therapies

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1497252019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 S TYLER ST STE 9",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092143",
            "telephone_number": "253-750-2664",
            "fax_number": "253-215-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S TYLER ST STE 9",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092143",
            "telephone_number": "253-750-2664",
            "fax_number": "253-215-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOP MINDED THERAPIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVELOP MINDED THERAPIES (GENERAL)",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DATHAN",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "253-750-2664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.