Individual provider Active NPI

Tarah Lynn Hipple-Thomas

  • Clinical Social Worker
  • Silverdale, WA
National Provider Identifier
1861040701
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9633 Levin Rd NW Ste 100
Silverdale, WA 98383-8132
Phone
(360) 698-5883
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

9633 Levin Rd NW Ste 100
Silverdale, WA 98383-8132

Mailing address

320 W Tahuyeh Dr
Bremerton, WA 98312-9661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbeals@mcscounseling.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2024 through Mar 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Trauma Therapy, LLC Clinical Current Accepting new patients
Kyle McKenzie DC Inc PastSince Sep 8, 2019 Accepting new patients
MCS Counseling Group LLC PastSince Sep 8, 2019 Accepting new patients

Locations

5110 28th St SE
Grand Rapids, MI 49512
Phone (616) 200-7973

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1861040701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W TAHUYEH DR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 LEVIN RD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838132",
            "telephone_number": "360-698-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPLE-THOMAS",
        "first_name": "TARAH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbeals@mcscounseling.org",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9633 Levin Rd NW Ste 100",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.