Individual provider Active NPI

Arthur C Tolentino, PH.D.

  • Marriage & Family Therapist
  • Olympia, WA
National Provider Identifier
1497772149
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002685 Issued in WA
Practice address
436 McPhee Rd SW
Olympia, WA 98502-5014
Phone
(360) 799-5782
Fax
(360) 539-1715
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1575 OR
Marriage & Family Therapist 106H00000X T0547 OR
Marriage & Family Therapist 106H00000X LF00002685 WA Primary

Addresses

Primary practice location

436 McPhee Rd SW
Olympia, WA 98502-5014

Mailing address

436 McPhee Rd SW
Olympia, WA 98502-5014
Phone (360) 799-5782

Other names 1

  • Dr. Arthur C Tolentino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104000729 WA Practitioner - Marriage and Family Therapist 2365740776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C1575ORMDProfessional Counselor
T0547ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Mental Health Services Current Accepting new patients
Pathways Mental Health Services CurrentSince Jan 1, 2024 Accepting new patients

Locations

2407 SE Delaware Ave
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Phone (515) 401-6219

11468 Marketplace Dr N
Ste 6001284
Champlin, MN 55316

8795 SW Tualatin Sherwood Rd
Ste 1032
Tualatin, OR 97062

1415 North Loop W
Ste 30014
Houston, TX 77008
Phone (321) 413-1411

1230 Carpenter Rd SE
Ste C3
Lacey, WA 98503
Phone (360) 412-1367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1497772149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MCPHEE RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025014",
            "telephone_number": "360-799-5782",
            "fax_number": "360-539-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MCPHEE RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025014",
            "telephone_number": "360-799-5782",
            "fax_number": "360-539-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "ARTHUR",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1575",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0547",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "TOLENTINO",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.