Active NPI
Bethany Christian Services
- Community/Behavioral Health Agency
- Shoreline, WA
National Provider Identifier
1851593925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 44159
- Legal business name
- BETHANY CHRISTIAN SERVICES
- Practice address
- 19936 Ballinger Way NE
Suite D
Shoreline, WA 98155-1223 - Phone
- (800) 733-4604
- Fax
- (206) 367-1860
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Edna Kuipers, LMSW
- Title
- Director
- Phone
- (800) 733-4604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 44159 | WA | Primary |
Addresses
Primary practice location
19936 Ballinger Way NE
Suite D
Shoreline, WA 98155-1223
Mailing address
19936 Ballinger Way NE
Suite D
Shoreline, WA 98155-1223
Phone (800) 733-4604
National Provider Directory
National Provider DirectoryLocations
19936 Ballinger Way NE
#D
Shoreline, WA 98155
Phone (800) 733-4604
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Graham, WA
- NPI 1063681948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851593925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19936 BALLINGER WAY NE",
"address_2": "SUITE D",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551223",
"telephone_number": "800-733-4604",
"fax_number": "206-367-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19936 BALLINGER WAY NE",
"address_2": "SUITE D",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551223",
"telephone_number": "800-733-4604",
"fax_number": "206-367-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY CHRISTIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUIPERS",
"authorized_official_first_name": "EDNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "800-733-4604",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "44159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, 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.