Organization Active NPI

Community Counseling Institute

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1538467907
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CO60158298 Issued in WA
Legal business name
COMMUNITY COUNSELING INSTITUTE
Practice address
2502 Tacoma Ave S
Tacoma, WA 98402-1310
Phone
(253) 759-0852
NPI assigned
Mar 8, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. Rodolfo Martinez
Title
Counselor
Phone
(253) 759-0852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CO60158298 WA Primary

Addresses

Primary practice location

2502 Tacoma Ave S
Tacoma, WA 98402-1310

Mailing address

2502 Tacoma Ave S
Tacoma, WA 98402-1310
Phone (253) 759-0852

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2502 Tacoma Ave S
Tacoma, WA 98402
Phone (253) 759-0852

Practitioners & affiliated clinicians

Practitioners 11

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1538467907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021310",
            "telephone_number": "253-759-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021310",
            "telephone_number": "253-759-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "253-759-0852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CO60158298",
            "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 Mar 9, 2011; 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.