Organization Active NPI

Primrose Therapeutic Services, PLLC

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1760222921
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRIMROSE THERAPEUTIC SERVICES, PLLC
Practice address
1712 6TH Ave Ste 100
Tacoma, WA 98405-3300
Phone
(305) 549-0566
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Authorized official

Name
Osmel E Campos Perez
Title
Chieft Operating Officer/Owner
Phone
(305) 549-0566

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Cognitive & Behavioral Psychologist 103TB0200X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1712 6TH Ave Ste 100
Tacoma, WA 98405-3300

Mailing address

1712 6TH Ave Ste 100
Tacoma, WA 98405-3300
Phone (305) 549-0566

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1760222921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "305-549-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 6TH AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053300",
            "telephone_number": "305-549-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "CAMPOS PEREZ",
        "authorized_official_first_name": "OSMEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEFT OPERATING OFFICER/OWNER",
        "authorized_official_telephone_number": "305-549-0566"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.