Organization Active NPI

Upside Counseling, PLLC

  • Clinical Social Worker
  • Federal Way, WA
National Provider Identifier
1780124107
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008268 Issued in WA
Legal business name
UPSIDE COUNSELING, PLLC
Practice address
33919 9TH Ave S Ste 203
Federal Way, WA 98003-6736
Phone
(253) 335-2412
Fax
(253) 874-4733
NPI assigned
Mar 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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

Authorized official

Name
Mrs. Tracey Ann Hunt, LICSW
Title
Psychotherapist
Phone
(253) 335-2412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW00008268 WA Primary

Addresses

Primary practice location

33919 9TH Ave S Ste 203
Federal Way, WA 98003-6736

Mailing address

33919 9TH Ave S Ste 203
Federal Way, WA 98003-6736
Phone (253) 335-2412

National Provider Directory

National Provider Directory

Locations

33919 9th Ave S
Ste 203
Federal Way, WA 98003
Phone (253) 245-9232

NPI Registry JSON

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488585600000",
    "number": "1780124107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33919 9TH AVE S STE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036736",
            "telephone_number": "253-335-2412",
            "fax_number": "253-874-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33919 9TH AVE S STE 203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036736",
            "telephone_number": "253-335-2412",
            "fax_number": "253-874-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "253-335-2412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.