NPIMap

Organization Active NPI

Enlivening Mental Health

  • Community/Behavioral Health Agency
  • Yelm, WA
National Provider Identifier
1548849029
Registry record updated Apr 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENLIVENING MENTAL HEALTH
Practice address
106 Plaza Dr SE BLDG B3
Yelm, WA 98597-8841
Phone
(253) 249-5991
NPI assigned
Apr 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2021

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

Authorized official

Name
Dr. Traci Tolliver, LMFT, LMHCNPI 1750706669
Title
Executive Director; Therapist
Phone
(253) 249-5991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

106 Plaza Dr SE BLDG B3
Yelm, WA 98597-8841

Mailing address

106 Plaza Dr SE BLDG B3
Yelm, WA 98597-8841
Phone (253) 249-5991

National Provider Directory

National Provider Directory

Locations

106 Plaza Dr SE
Bldg B3
Yelm, WA 98597
Phone (253) 249-5991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1548849029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR SE BLDG B3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978841",
            "telephone_number": "253-249-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR SE BLDG B3",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978841",
            "telephone_number": "253-249-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVENING MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR; THERAPIST",
        "authorized_official_telephone_number": "253-249-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.