NPIMap

Organization Active NPI

Center for Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shoreline, WA
National Provider Identifier
1669675609
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
154 Issued in WA
Legal business name
CENTER FOR HUMAN SERVICES
Practice address
14803 15TH Ave NE
Shoreline, WA 98155-7110
Phone
(206) 362-7282
Fax
(206) 362-7152
NPI assigned
Jun 7, 2007
Last updated
Jun 14, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Beratta GomillionNPI 1972942787
Title
Executive Director
Phone
(206) 362-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 154 WA Primary

Addresses

Primary practice location

14803 15TH Ave NE
Shoreline, WA 98155-7110

Mailing address

17018 15TH Ave NE
Shoreline, WA 98155-5126
Phone (206) 362-7282

Other names 1

  • CHS Shoreline 148th Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Human Services6 organizations share this tax ID, including this one
Part of
Center for Human Services

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1669675609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17018 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981555126",
            "telephone_number": "206-362-7282",
            "fax_number": "206-362-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14803 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557110",
            "telephone_number": "206-362-7282",
            "fax_number": "206-362-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR HUMAN SERVICES",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "GOMILLION",
        "authorized_official_first_name": "BERATTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-362-7282"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHS Shoreline 148th",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.