Organization Active NPI

Bethany Christian Services

  • Community/Behavioral Health Agency
  • Shoreline, WA
National Provider Identifier
1851593925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44159 Issued in WA
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

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
Mrs. Edna Kuipers, LMSW
Title
Director
Phone
(800) 733-4604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.