Organization Active NPI

Pearl Counseling Associatation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
National Provider Identifier
1720470032
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LW6043939315 Issued in WA
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

Updated by the provider on Feb 23, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.