NPIMap

Organization Active NPI

Klallam Counseling Services

  • Case Management Agency
  • Port Angeles, WA
National Provider Identifier
1578890760
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KLALLAM COUNSELING SERVICES
Practice address
1026 E 1St St Ste 2
Port Angeles, WA 98362-4020
Phone
(360) 452-4432
Fax
(360) 452-4599
NPI assigned
Nov 9, 2009
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Mr. Gary Raymond McCullough, CDP
Title
Administrative Director
Phone
(360) 452-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1026 E 1St St Ste 2
Port Angeles, WA 98362-4020

Mailing address

1026 E 1St St Ste 2
Port Angeles, WA 98362-4020
Phone (360) 452-4432

National Provider Directory

National Provider Directory

Locations

1026 E 1st St
#2
Port Angeles, WA 98362
Phone (360) 452-4432

Practitioners & affiliated clinicians

Practitioners 12

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1578890760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 1ST ST STE 2",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624020",
            "telephone_number": "360-452-4432",
            "fax_number": "360-452-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 1ST ST STE 2",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624020",
            "telephone_number": "360-452-4432",
            "fax_number": "360-452-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLALLAM COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "360-452-4432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.