NPIMap

Organization Active NPI

Kassuhn Inc

  • Substance Abuse Rehabilitation Facility
  • Port Orchard, WA
National Provider Identifier
1831479641
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
CP00004989 Issued in WA
Legal business name
KASSUHN INC
Practice address
729 Prospect St Ste 200
Port Orchard, WA 98366-5330
Phone
(360) 895-1307
Fax
(360) 895-4805
NPI assigned
Aug 24, 2011
Organization subpart
Yes
Parent organization
KASSUHN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Mrs. Betty C Kassuhn, CDPNPI 1205955390
Title
Owner
Phone
(360) 895-1307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CP00004989 WA Primary

Addresses

Primary practice location

729 Prospect St Ste 200
Port Orchard, WA 98366-5330

Mailing address

729 Prospect St Ste 200
Port Orchard, WA 98366-5330
Phone (360) 895-1307

Other names 1

  • Action Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kassuhn Inc Dba Alternative Counseling3 organizations share this tax ID, including this one
Part of
Kassuhn Inc Dba Alternative Counseling

Other organizations with this tax ID 2

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

Locations

729 Prospect St
Ste 200
Port Orchard, WA 98366
Phone (360) 895-1307

Practitioners & affiliated clinicians

Practitioners 7

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1831479641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PROSPECT ST STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665330",
            "telephone_number": "360-895-1307",
            "fax_number": "360-895-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PROSPECT ST STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665330",
            "telephone_number": "360-895-1307",
            "fax_number": "360-895-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSUHN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KASSUHN INC",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "KASSUHN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-895-1307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "CP00004989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Action Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.