Organization Active NPI

Counseling Services of Olympia, LLC

  • Professional Counselor
  • Olympia, WA
National Provider Identifier
1629518394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LH 60604130 Issued in WA
Legal business name
COUNSELING SERVICES OF OLYMPIA, LLC
Practice address
1015 4TH Ave W Ste H
Olympia, WA 98502-5492
Phone
(360) 349-6446
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Leslie Demarco, LMHCNPI 1720434954
Title
Therapist
Phone
(360) 349-6446

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LH 60604130 WA Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X MC60437247 WA

Addresses

Primary practice location

1015 4TH Ave W Ste H
Olympia, WA 98502-5492

Mailing address

1015 4TH Ave W Ste H
Olympia, WA 98502-5492
Phone (360) 349-6446

Other practice location 1

1101 Eastside St SE
Suite H
Olympia, WA 98501-2440
Phone (360) 349-6446

National Provider Directory

National Provider Directory

Locations

1015 4th Ave W
Ste H
Olympia, WA 98502
Phone (360) 328-1982

1101 Eastside St SE
Ste H
Olympia, WA 98501
Phone (360) 349-6446

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": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1629518394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 4TH AVE W STE H",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025492",
            "telephone_number": "360-349-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 4TH AVE W STE H",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025492",
            "telephone_number": "360-349-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Eastside St SE",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012440",
            "country_code": "US",
            "telephone_number": "360-349-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF OLYMPIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "360-349-6446",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH 60604130",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MC60437247",
            "primary": false
        }
    ],
    "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 Mar 17, 2018; 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.