Organization Active NPI

Playful Healing Counseling

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1639628712
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60211288 Issued in WA
Legal business name
PLAYFUL HEALING COUNSELING
Practice address
400 E Evergreen Blvd
Suite 301-a
Vancouver, WA 98660-3331
Phone
(360) 836-1297
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Mrs. Tracy Jean Leblanc, LICSW
Title
Owner, Therapist
Phone
(360) 836-1297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW60211288 WA Primary

Addresses

Primary practice location

400 E Evergreen Blvd
Suite 301-a
Vancouver, WA 98660-3331

Mailing address

PO Box 823181
Vancouver, WA 98682-0066
Phone (360) 836-1297

National Provider Directory

National Provider Directory

Locations

400 E Evergreen Blvd
Ste 301A
Vancouver, WA 98660
Phone (360) 836-1297

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1639628712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823181",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820066",
            "telephone_number": "360-836-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD",
            "address_2": "SUITE 301-A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603331",
            "telephone_number": "360-836-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYFUL HEALING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "360-836-1297",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60211288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.