NPIMap

Organization Active NPI

Center for Human Services

  • Community/Behavioral Health Agency
  • Mountlake Terrace, WA
National Provider Identifier
1710317672
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTER FOR HUMAN SERVICES
Practice address
21907 64TH Ave W
Suite 240
Mountlake Terrace, WA 98043-2200
Phone
(206) 632-7282
Fax
(206) 362-7152
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 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 Nov 13, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

21907 64TH Ave W
Suite 240
Mountlake Terrace, WA 98043-2200

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
31 162600OtherWADBHR STATE CD LICENSE
292OtherWADBHR STATE MH LICENSE

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.

Locations

21907 64th Ave W
Ste 240
Mountlake Terrace, WA 98043
Phone (206) 631-8855

Practitioners & affiliated clinicians

Practitioners 10

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1710317672",
    "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": "21907 64TH AVE W",
            "address_2": "SUITE 240",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432200",
            "telephone_number": "206-632-7282",
            "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": "2013-11-13",
        "last_updated": "2013-11-13",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR STATE CD LICENSE",
            "identifier": "31 162600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBHR STATE MH LICENSE",
            "identifier": "292",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.