NPIMap

Organization Active NPI

Pioneer Human Services

  • Substance Abuse Rehabilitation Facility
  • Kent, WA
National Provider Identifier
1831218346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
RTF-1078 Issued in WA
Legal business name
PIONEER HUMAN SERVICES
Practice address
505 Washington Ave S
Kent, WA 98032-5709
Phone
(253) 856-1825
Fax
(253) 856-2457
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tracey Ann Groscost
Title
Cfo
Phone
(206) 768-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X RTF-1078 WA Primary

Addresses

Primary practice location

505 Washington Ave S
Kent, WA 98032-5709

Mailing address

7440 W Marginal Way S
Seattle, WA 98108-4141
Phone (206) 768-1990

Other identifiers 1

IdentifierTypeStateIssuer
1995356MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Counseling Services of Spokane35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831218346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W MARGINAL WAY S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084141",
            "telephone_number": "206-768-1990",
            "fax_number": "206-768-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WASHINGTON AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325709",
            "telephone_number": "253-856-1825",
            "fax_number": "253-856-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSCOST",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-768-1990"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "RTF-1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995356",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.