NPIMap

Organization Active NPI

Olalla Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Olalla, WA
National Provider Identifier
1609984681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
012089 Issued in WA
Legal business name
OLALLA RECOVERY CENTERS
Practice address
12851 Lala Cove LN SE
Olalla, WA 98359-9664
Phone
(253) 851-6201
Fax
(253) 857-3993
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Paris Lynn Honsowetz
Title
Admission Billing Specialist
Phone
(253) 857-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 012089 WA Primary

Addresses

Primary practice location

12851 Lala Cove LN SE
Olalla, WA 98359-9664

Mailing address

12851 Lala Cove LN SE
Olalla, WA 98359-9664
Phone (253) 851-6201

National Provider Directory

National Provider Directory
Tax ID family
Gig Harbor Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12850 Lala Cove Ln SE
Olalla, WA 98359
Phone (253) 851-6201

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/olalla/r4/

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609984681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12851 LALA COVE LN SE",
            "city": "OLALLA",
            "state": "WA",
            "postal_code": "983599664",
            "telephone_number": "253-851-6201",
            "fax_number": "253-857-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 LALA COVE LN SE",
            "city": "OLALLA",
            "state": "WA",
            "postal_code": "983599664",
            "telephone_number": "253-851-6201",
            "fax_number": "253-857-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLALLA RECOVERY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONSOWETZ",
        "authorized_official_first_name": "PARIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMISSION BILLING SPECIALIST",
        "authorized_official_telephone_number": "253-857-6101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "012089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olalla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.