Organization Active NPI

Hires Family Resources

Doing business as Bethel Ridge Family Resources

  • Clinical Social Worker
  • Yakima, WA
National Provider Identifier
1699155614
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00004987 Issued in WA
Legal business name
HIRES FAMILY RESOURCES
Doing business as
Bethel Ridge Family Resources
Practice address
1450 N 16TH Ave Ste 102
Yakima, WA 98902-1381
Phone
(509) 574-5000
Fax
(509) 249-0035
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Julie Kautzman
Title
Office Manager
Phone
(509) 574-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00004987 WA Primary

Addresses

Primary practice location

1450 N 16TH Ave Ste 102
Yakima, WA 98902-1381

Mailing address

1450 N 16TH Ave Ste 102
Yakima, WA 98902-1381
Phone (509) 574-5000

Other identifiers 1

IdentifierTypeStateIssuer
602555343OtherWAUBI #

Other names 1

  • Bethel Ridge Family Resources Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethel Ridge Family Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1699155614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N 16TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021381",
            "telephone_number": "509-574-5000",
            "fax_number": "509-249-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N 16TH AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021381",
            "telephone_number": "509-574-5000",
            "fax_number": "509-249-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRES FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KAUTZMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-574-5000"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI #",
            "identifier": "602555343",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel Ridge Family Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.