Active NPI
Healthy Habits Counseling and Menta
- Clinical Social Worker
- Goldendale, WA
National Provider Identifier
1740990621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEALTHY HABITS COUNSELING AND MENTA
- Practice address
- 122 W Main St
Goldendale, WA 98620-9588 - Phone
- (509) 840-7063
- NPI assigned
- Dec 1, 2022
- 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
- Lacey Villamar
- Title
- Licsw
- Phone
- (785) 738-8860
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
122 W Main St
Goldendale, WA 98620-9588
Mailing address
122 W Main St
Goldendale, WA 98620-9588
National Provider Directory
National Provider DirectoryLocations
122 W Main St
Goldendale, WA 98620
Phone (509) 840-7063
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Goldendale, WA
- NPI 1659857431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670198400000",
"number": "1740990621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W MAIN ST",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986209588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W MAIN ST",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986209588",
"telephone_number": "509-840-7063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY HABITS COUNSELING AND MENTA",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A",
"authorized_official_last_name": "VILLAMAR",
"authorized_official_first_name": "LACEY",
"authorized_official_title_or_position": "LICSW",
"authorized_official_telephone_number": "785-738-8860"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldendale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.