Allen Itungu

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

CM61416693 Issued in WA

Practice address

610 Yakima Ave
Tacoma, WA 98405-4851

Phone

(253) 396-5246

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Mental Health Center of Tacoma-Pierce County

  dba Comprehensive Life Resources

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1952597056
  NPD

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1689556086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 83RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041027",
            "telephone_number": "517-771-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054851",
            "telephone_number": "253-396-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITUNGU",
        "first_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "WA",
            "license": "CM61416693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isinmi LLC
• Syed Saquib Islam, MD
• Amanda Isula-Hillebert, FNP-BC
• Sierra Rose Itara
• Michael Ito-Washington, MSW
• Lenora Marie Ivanek, PA-C
• Natalia Ivanova, ACNPC-AG
• Martin J Iversen, M.D.
• Amanda Jane Iverson, LMT 70006694
• Andrew Iverson, N.D.

• Psychiatric Residential Treatment Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatric Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.