Organization Active NPI

Mountains to Sound Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • University Place, WA
National Provider Identifier
1750004826
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOUNTAINS TO SOUND MENTAL HEALTH PLLC
Practice address
7406 27TH St W Ste 30
University Place, WA 98466-4637
Phone
(253) 500-8181
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Angela Kennedy, ARNP
Title
Governor
Phone
(253) 500-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7406 27TH St W Ste 30
University Place, WA 98466-4637

Mailing address

3801 N 27TH St
PO Box 7483
Tacoma, WA 98407-5812

National Provider Directory

National Provider Directory

Locations

7406 27th St W
Ste 30
University Place, WA 98466
Phone (253) 244-3477

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1750004826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N 27TH ST",
            "address_2": "PO BOX 7483",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 27TH ST W STE 30",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664637",
            "telephone_number": "253-500-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINS TO SOUND MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "253-500-8181",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.