NPIMap

Organization Active NPI

Nisqually Indian Tribe

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1609612670
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NISQUALLY INDIAN TRIBE
Practice address
10747 Todtkarle Rd SE
Olympia, WA 98513-9286
Phone
(360) 456-5221
NPI assigned
Jul 8, 2024
Organization subpart
Yes
Parent organization
NISQUALLY INDIAN TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Cynthia Iyall
Title
Center Administrator
Phone
(360) 456-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10747 Todtkarle Rd SE
Olympia, WA 98513-9286

Mailing address

4820 She Nah Num Dr SE
Olympia, WA 98513-9105
Phone (360) 456-5221

National Provider Directory

National Provider Directory
Tax ID family
Nisqually Indian Tribe8 organizations share this tax ID, including this one
Part of
Nisqually Indian Tribe

Other organizations with this tax ID 7

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

Locations

4820 She Nah Num Dr SE
Olympia, WA 98513
Phone (360) 413-2727

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": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1609612670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 SHE NAH NUM DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139105",
            "telephone_number": "360-456-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10747 TODTKARLE RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139286",
            "telephone_number": "360-456-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISQUALLY INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NISQUALLY INDIAN TRIBE",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "IYALL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CENTER ADMINISTRATOR",
        "authorized_official_telephone_number": "360-456-5221"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 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.