South Sound Counseling & Consultation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH60279408 Issued in WA

Legal business name

SOUTH SOUND COUNSELING & CONSULTATION

Practice address

31919 1St Ave S
Suite 203
Federal Way, WA 98003-5236

Phone

(253) 839-4172

Fax

(484) 924-3832

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Christine Leah Keys, MA

Title

Professional Counselor

Phone

(253) 839-4172

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1528315033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S",
            "address_2": "SUITE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "253-839-4172",
            "fax_number": "484-924-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31919 1ST AVE S",
            "address_2": "SUITE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035236",
            "telephone_number": "253-839-4172",
            "fax_number": "484-924-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "253-839-4172",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60279408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316241359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902135981",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "320174475",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.