Organization Active NPI

Xdhealth LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
National Provider Identifier
1679390405
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
XDHEALTH LLC
Practice address
2367 Tacoma Ave S # 102
Tacoma, WA 98402-1409
Phone
(509) 289-2980
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Derrick KretschmerNPI 1316286545
Title
Director
Phone
(253) 398-4765

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2367 Tacoma Ave S # 102
Tacoma, WA 98402-1409

Mailing address

3502 S Mason Ave Apt 7E
Tacoma, WA 98409-8535
Phone (661) 220-4947

National Provider Directory

National Provider Directory

Locations

2367 Tacoma Ave S
#102
Tacoma, WA 98402
Phone (509) 289-2980

Practitioners & affiliated clinicians

Practitioners 2

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": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1679390405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 S MASON AVE APT 7E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984098535",
            "telephone_number": "661-220-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 TACOMA AVE S # 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021409",
            "telephone_number": "509-289-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XDHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "KRETSCHMER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "253-398-4765"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 13, 2026; 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.