Organization Active NPI

Erin Jacobson-Kasler, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lakewood, WA
National Provider Identifier
1821411604
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
AP30004784 Issued in WA
Legal business name
ERIN JACOBSON-KASLER, LLC
Practice address
6212 75TH St W
Lakewood, WA 98499-8368
Phone
(253) 983-8507
Fax
(253) 983-8576
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Erin Jacobson-Kasler, MN, ARNP
Title
Owner
Phone
(253) 228-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X AP30004784 WA Primary

Addresses

Primary practice location

6212 75TH St W
Lakewood, WA 98499-8368

Mailing address

PO Box 7358
Tacoma, WA 98417-0358
Phone (253) 983-8507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1821411604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7358",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984170358",
            "telephone_number": "253-983-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 75TH ST W",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998368",
            "telephone_number": "253-983-8507",
            "fax_number": "253-983-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN JACOBSON-KASLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "JACOBSON-KASLER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-228-1490",
        "authorized_official_credential": "MN, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "AP30004784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.