Organization Active NPI

Polaris Family Counseling Services LLC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1659611705
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60161094 Issued in WA
Legal business name
POLARIS FAMILY COUNSELING SERVICES LLC
Practice address
4301 S Pine St
Suite 223
Tacoma, WA 98409-7264
Phone
(253) 306-0896
Fax
(253) 655-2055
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Ms. Tracey L Poirrier, MA. LMHC PHD (C)
Title
Member, Therapist
Phone
(253) 306-0896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MC 60330540 WA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LH 60161094 WA Primary

Addresses

Primary practice location

4301 S Pine St
Suite 223
Tacoma, WA 98409-7264

Mailing address

4301 S Pine St
Suite 223
Tacoma, WA 98409-7264
Phone (253) 306-0896

National Provider Directory

National Provider Directory

Locations

4301 S Pine St
Ste 223
Tacoma, WA 98409
Phone (253) 306-0896

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1659611705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST",
            "address_2": "SUITE 223",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097264",
            "telephone_number": "253-306-0896",
            "fax_number": "253-655-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST",
            "address_2": "SUITE 223",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097264",
            "telephone_number": "253-306-0896",
            "fax_number": "253-655-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS FAMILY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "POIRRIER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER, THERAPIST",
        "authorized_official_telephone_number": "253-306-0896",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA. LMHC PHD (C)"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60330540",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60161094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.