Active NPI
Poulson Counseling PLLC
- Mental Health Counselor
- Richland, WA
National Provider Identifier
1730538422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00005937
- Legal business name
- POULSON COUNSELING PLLC
- Practice address
- 719 Jadwin Ave
Richland, WA 99352-4217 - Phone
- (509) 430-8626
- Fax
- (509) 943-2129
- NPI assigned
- Jun 3, 2016
- 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
- Mary Jane Poulson, MA, LMHC, NCC, CMHS
- Title
- Owner/Manager
- Phone
- (509) 430-8626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00005937 | WA | Primary |
Addresses
Primary practice location
719 Jadwin Ave
Richland, WA 99352-4217
Mailing address
719 Jadwin Ave
Richland, WA 99352-4217
Phone (509) 430-8626
National Provider Directory
National Provider DirectoryLocations
719 Jadwin Ave
Richland, WA 99352
Phone (509) 430-8626
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Richland, WA
- NPI 1710061528
-
- Clinical Psychologist
- Richland, WA
- NPI 1417159468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1730538422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-430-8626",
"fax_number": "509-943-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 JADWIN AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524217",
"telephone_number": "509-430-8626",
"fax_number": "509-943-2129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POULSON COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-03",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "POULSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "509-430-8626",
"authorized_official_credential": "MA, LMHC, NCC, CMHS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00005937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.