NPIMap

Organization Active NPI

Lower Elwha Klallam Tribe

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port Angeles, WA
National Provider Identifier
1841316916
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LOWER ELWHA KLALLAM TRIBE
Doing business as
Klallam Counseling Services
Practice address
933 E 1St St
Port Angeles, WA 98362-4012
Phone
(360) 452-4432
Fax
(360) 452-4599
NPI assigned
Mar 21, 2007
Organization subpart
Yes
Parent organization
LOWER ELWHA KLALLAM TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Frances G Charles
Title
Chairwoman
Phone
(360) 452-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

933 E 1St St
Port Angeles, WA 98362-4012

Mailing address

243511 Highway 101
Port Angeles, WA 98363-9472
Phone (360) 452-6252

Other names 1

  • Klallam Counseling Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Elwha Health Clinic8 organizations share this tax ID, including this one
Part of
Lower Elwha Health Clinic

Other organizations with this tax ID 7

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

Locations

243511 Highway 101
Port Angeles, WA 98363
Phone (360) 452-6252

243613 Highway 101
Port Angeles, WA 98363
Phone (360) 452-4432

Practitioners & affiliated clinicians

Practitioners 6

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1841316916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243511 HIGHWAY 101",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983639472",
            "telephone_number": "360-452-6252",
            "fax_number": "360-797-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624012",
            "telephone_number": "360-452-4432",
            "fax_number": "360-452-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER ELWHA KLALLAM TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER ELWHA KLALLAM TRIBE",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRWOMAN",
        "authorized_official_telephone_number": "360-452-8471"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klallam Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Klallam Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.