NPIMap

Organization Active NPI

Center for Counseling & Psychotherapy LLC

  • Counseling Psychologist
  • Yakima, WA
National Provider Identifier
1861663684
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
601922782 Issued in WA
Legal business name
CENTER FOR COUNSELING & PSYCHOTHERAPY LLC
Practice address
1015 S. 40TH Avenue
Suite 21-23
Yakima, WA 98908-3806
Phone
(509) 966-7246
Fax
(509) 966-5731
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Duane T Dolliver, LMHCNPI 1518043900
Title
Owner
Phone
(509) 966-7246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 601922782 WA
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 601922782 WA Primary

Addresses

Primary practice location

1015 S. 40TH Avenue
Suite 21-23
Yakima, WA 98908-3806

Mailing address

1015 S. 40TH Avenue
Suite 21-23
Yakima, WA 98908-3806
Phone (509) 966-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000385 WA Part B Supplier - Clinic/Group Practice 1052471240 Receives reassigned benefits from 5 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory
Tax ID family
Center for Addiction Recovery Education Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1015 S 40th Ave
Ste 23
Yakima, WA 98908
Phone (509) 965-3115

Practitioners & affiliated clinicians

Practitioners 10

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1861663684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S. 40TH AVENUE",
            "address_2": "SUITE 21-23",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083806",
            "telephone_number": "509-966-7246",
            "fax_number": "509-966-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S. 40TH AVENUE",
            "address_2": "SUITE 21-23",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083806",
            "telephone_number": "509-966-7246",
            "fax_number": "509-966-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COUNSELING & PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "DOLLIVER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-7246",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "601922782",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "601922782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.