Active NPI
Congregations for the Homeless Dba Porchlight
- Case Management Agency
- Bellevue, WA
National Provider Identifier
1548023146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CONGREGATIONS FOR THE HOMELESS DBA PORCHLIGHT
- Practice address
- 13668 SE Eastgate Way
Bellevue, WA 98005-4462 - Phone
- (425) 698-1295
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy Christensen
- Title
- Executive Director
- Phone
- (425) 698-1295
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
13668 SE Eastgate Way
Bellevue, WA 98005-4462
Mailing address
13668 SE Eastgate Way
Bellevue, WA 98005-4462
Phone (425) 698-1295
Other names 1
- PorchLight
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2255676 | Congregations for the Homeless Dba Porchlight | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Bellevue, WA
- NPI 1134322134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1548023146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13668 SE EASTGATE WAY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054462",
"telephone_number": "425-698-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13668 SE EASTGATE WAY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054462",
"telephone_number": "425-698-1295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONGREGATIONS FOR THE HOMELESS DBA PORCHLIGHT",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "425-698-1295",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PorchLight",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.