Integrated Therapy Services NW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LF00001770 Issued in WA

Legal business name

INTEGRATED THERAPY SERVICES NW PLLC

Practice address

6004 Westgate Blvd
Suite 180
Tacoma, WA 98406-2503

Phone

(253) 460-7248

Fax

(253) 564-4409

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Jeanne Purdum, LMFT

Title

Co-Owner

Phone

(253) 460-7248

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1740549633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 WESTGATE BLVD",
            "address_2": "SUITE 180",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062503",
            "telephone_number": "253-460-7248",
            "fax_number": "253-564-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 WESTGATE BLVD",
            "address_2": "SUITE 180",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062503",
            "telephone_number": "253-460-7248",
            "fax_number": "253-564-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY SERVICES NW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "PURDUM",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "253-460-7248",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF00001770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.