Organization Active NPI

Crest Counseling Services, PS

  • Mental Health Counselor
  • Yakima, WA
National Provider Identifier
1871882928
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 00005708 Issued in WA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Julie D Crest, M.S., LMHCNPI 1649489675
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2013689MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.