NPIMap

Organization Active NPI

Catholic Community Services WW

  • Community/Behavioral Health Agency
  • Olympia, WA
National Provider Identifier
1568785293
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
169 Issued in WA
Legal business name
CATHOLIC COMMUNITY SERVICES WW
Practice address
402 Yauger Way SW
Olympia, WA 98502-8660
Phone
(360) 878-8248
NPI assigned
Mar 9, 2010
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Stephanie Marguerite Thelen
Title
System Implementation Specialist
Phone
(253) 759-9544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 169 WA Primary

Addresses

Primary practice location

402 Yauger Way SW
Olympia, WA 98502-8660

Mailing address

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208
Phone (360) 878-8248

Other identifiers 1

IdentifierTypeStateIssuer
169OtherWACOMMUNITY MENTAL HEALTH LICENSE

Other names 1

  • CCSWW-FPS Olympia Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services WW34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

1202 Black Lake Blvd SW
Ste B
Olympia, WA 98502
Phone (360) 968-3138

402 Yauger Way SW
Olympia, WA 98502
Phone (360) 515-8012

Practitioners & affiliated clinicians

Practitioners 150

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 150

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1568785293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BLACK LAKE BLVD SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027208",
            "telephone_number": "360-878-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 YAUGER WAY SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028660",
            "telephone_number": "360-878-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES WW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "SYSTEM IMPLEMENTATION SPECIALIST",
        "authorized_official_telephone_number": "253-759-9544"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MENTAL HEALTH LICENSE",
            "identifier": "169",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCSWW-FPS Olympia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCSWW-FPS Olympia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.