NPIMap

Organization Active NPI

Adventure Learning and Assessment

  • Counselor
  • Vancouver, WA
National Provider Identifier
1811364227
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LH60413305 Issued in WA
Legal business name
ADVENTURE LEARNING AND ASSESSMENT
Practice address
717 NE 61St St
#202
Vancouver, WA 98665-8753
Phone
(360) 718-6548
Fax
(360) 718-6554
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Mrs. Tiffanie Marie Duley, RHIT
Title
Office Manager
Phone
(360) 718-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LH60413305 WA Primary

Addresses

Primary practice location

717 NE 61St St
#202
Vancouver, WA 98665-8753

Mailing address

717 NE 61St St
#202
Vancouver, WA 98665-8753
Phone (360) 718-6548

Other identifiers 1

IdentifierTypeStateIssuer
2050221MedicaidWA

Other names 1

  • Adventure Psychological Services, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1811364227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST",
            "address_2": "#202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "360-718-6548",
            "fax_number": "360-718-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 61ST ST",
            "address_2": "#202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658753",
            "telephone_number": "360-718-6548",
            "fax_number": "360-718-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE LEARNING AND ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "DULEY",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-718-6548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60413305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.