Active NPI
Pearl Counseling Associatation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tacoma, WA
National Provider Identifier
1720470032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- LW6043939315
- Legal business name
- PEARL COUNSELING ASSOCIATATION
- Practice address
- 1919 N Pearl St Ste C1
Tacoma, WA 98406-2490 - Phone
- (253) 752-1890
- NPI assigned
- Feb 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M Coleman, LICSW
- Title
- License Independent Clinical Social
- Phone
- (253) 752-1860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LW6043939315 | WA | Primary |
Addresses
Primary practice location
1919 N Pearl St Ste C1
Tacoma, WA 98406-2490
Mailing address
1919 N Pearl St Ste C1
Tacoma, WA 98406-2490
Phone (253) 752-1890
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424649600000",
"number": "1720470032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 N PEARL ST STE C1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062490",
"telephone_number": "253-752-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 N PEARL ST STE C1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062490",
"telephone_number": "253-752-1890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL COUNSELING ASSOCIATATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2015-02-23",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LICENSE INDEPENDENT CLINICAL SOCIAL",
"authorized_official_telephone_number": "253-752-1860",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WA",
"license": "LW6043939315",
"primary": true
}
],
"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 Feb 23, 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.