Organization Active NPI

Merit Resource Services

  • Addiction (Substance Use Disorder) Counselor
  • Yakima, WA
National Provider Identifier
1740731256
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00003747 Issued in WA
Legal business name
MERIT RESOURCE SERVICES
Practice address
315 N 2ND St
Yakima, WA 98901-2334
Phone
(509) 469-9366
Fax
(509) 469-9926
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Mrs. Renay Antoinette Bloom, CDP
Title
Chemical Dependency Professional
Phone
(509) 469-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X CP00003747 WA Primary

Addresses

Primary practice location

315 N 2ND St
Yakima, WA 98901-2334

Mailing address

315 N 2ND St
Yakima, WA 98901-2334
Phone (509) 469-9366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1740731256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 2ND ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012334",
            "telephone_number": "509-469-9366",
            "fax_number": "509-469-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 2ND ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012334",
            "telephone_number": "509-469-9366",
            "fax_number": "509-469-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT RESOURCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "RENAY",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY PROFESSIONAL",
        "authorized_official_telephone_number": "509-469-9366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.