Active NPI
Crest Counseling Services, PS
- Mental Health Counselor
- Yakima, WA
National Provider Identifier
1871882928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH 00005708
- Legal business name
- CREST COUNSELING SERVICES, PS
- Practice address
- 412 South 12TH Avenue
Yakima, WA 98902 - Phone
- (509) 307-2470
- Fax
- (866) 480-9279
- NPI assigned
- Mar 29, 2011
- Last updated
- Dec 4, 2015
- 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
- Julie D Crest, M.S., LMHC
- Title
- President
- Phone
- (509) 307-2470
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH 00005708 | WA | Primary |
Addresses
Primary practice location
412 South 12TH Avenue
Yakima, WA 98902
Mailing address
412 South 12TH Avenue
Yakima, WA 98902
Phone (509) 307-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013689 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
5219 W Clearwater Ave
Ste 9
Kennewick, WA 99336
Phone (509) 579-0006
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Yakima, WA
- NPI 1649489675
-
- Case Manager/Care Coordinator
- Kennewick, WA
- NPI 1902453889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449187200000",
"number": "1871882928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 SOUTH 12TH AVENUE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-307-2470",
"fax_number": "866-480-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 SOUTH 12TH AVENUE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-307-2470",
"fax_number": "866-480-9279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREST COUNSELING SERVICES, PS",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-29",
"last_updated": "2015-12-04",
"status": "A",
"authorized_official_last_name": "CREST",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-307-2470",
"authorized_official_credential": "M.S., LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH 00005708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013689",
"state": "WA"
}
],
"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 Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.