Outreached Youth LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OUTREACHED YOUTH LLC

Practice address

11120 Gravelly Lake Dr SW Ste 7
Lakewood, WA 98499-1351

Phone

(360) 229-2999

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Patrice Barnes, MSWNPI 1811407596

Title

Accounts Manager

Phone

(360) 229-2999

Specialties & licenses 1

Addresses

Other names 1

• Family Monitoring and Transport U.S.A Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Patrice Barnes

  • Mental Health Counselor
  • Lakewood, WA
  • NPI 1811407596
  NPD Authorized official

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693094400000",
    "number": "1669257010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 GRAVELLY LAKE DR SW STE 7",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991351",
            "telephone_number": "360-229-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 GRAVELLY LAKE DR SW STE 7",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991351",
            "telephone_number": "360-229-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACHED YOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "360-229-2999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Monitoring and Transport U.S.A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Monitoring and Transport U.S.A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatyana Amadeo Ortiz
• Jeffrey A. Osborn, DMD
• Sharlee Diloy Ostrem, AA
• Larry G. Ostry, DDS
• Stephen F Ou, D.O.
• Hannah Owen
• Terri Renee Owens
• Trina A. Owens, BSW
• Olivia Owusua, MENTALHEALTHCOUNSELO
• Denai Pabst

• Case Management Agency in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; 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.