Organization Active NPI

Lourdes Hospital LLC

Doing business as Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
National Provider Identifier
1548342181
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
113 003 371 Issued in WA
Legal business name
LOURDES HOSPITAL LLC
Doing business as
Lourdes Counseling Center
Practice address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone
(509) 943-9104
NPI assigned
Oct 20, 2006
Last updated
Feb 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Authorized official

Name
Charlotte E Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 113 003 371 WA Primary
Psychiatric Residential Treatment Facility 323P00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1175 Carondelet Dr
Richland, WA 99354-3300

Mailing address

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

Other practice location 1

208 Cullum Ave
Richland, WA 99352-4534
Phone (509) 946-5918

Other practice location 2

1020 S 7th Ave
Pasco, WA 99301-5794
Phone (509) 547-9000

Other identifiers 1

IdentifierTypeStateIssuer
2112125MedicaidWA

Other names 1

  • LOURDES COUNSELING CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180919003746 WA Part A Provider - Hospital 1850642562 Practice locations: Pasco, WA; Richland, WA
O20181113000853 WA Part B Supplier - Clinic/Group Practice 1850642562 Receives reassigned benefits from 115 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasco, WA; Richland, WA; Kennewick, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548342181. Details of each certification follow.

Hospital certification: CCN 504008

Legal name
LOURDES HOSPITAL LLC
Doing business as
LOURDES COUNSELING CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 1, 1974
Last certification
May 21, 2009
Beds
32
Ownership / control type
Private (not for profit)
Organization structure
LLCProprietary
Incorporated
Sep 22, 2016 in DE
Enrollment address
1175 Carondelet Dr
Richland, WA 99354-3300
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lourdes Counseling CenterCCN 504008 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Lourdes Hospital LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Scott Sims Individual W-2 Managing EmployeeFacility Ceo Sep 18, 2025
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Lourdes Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 4, 2022
Capella Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Capella Healthcare LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
John Michael Grooms Individual Corporate OfficerSVP and Treasurer Jun 30, 2025
Christopher J Monte Individual Corporate OfficerVice President Nov 16, 2018
Jennifer Alderfer Individual Corporate OfficerPresident Oct 30, 2023
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Capella Health Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Practitioners 164

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.

View all 164

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708128000000",
    "number": "1548342181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-547-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Cullum Ave",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524534",
            "country_code": "US",
            "telephone_number": "509-946-5918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 S 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015794",
            "country_code": "US",
            "telephone_number": "509-547-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOURDES HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WA",
            "license": "113 003 371",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112125",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOURDES COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOURDES COUNSELING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.