NPIMap

Organization Active NPI

Canyon Lakes Family Counseling Center

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1871929869
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60401601 Issued in WA
Legal business name
CANYON LAKES FAMILY COUNSELING CENTER
Practice address
3616 W 27TH Ave
Kennewick, WA 99337-2415
Phone
(509) 591-0462
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mr. Lynn Owens, LMHCANPI 1285987305
Title
Owner
Phone
(509) 591-0462

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
Mental Health Counselor 101YM0800X MC60401601 WA Primary
Marriage & Family Therapist 106H00000X MG60390821 WA

Addresses

Primary practice location

3616 W 27TH Ave
Kennewick, WA 99337-2415

Mailing address

3616 W 27TH Ave
Kennewick, WA 99337-2415
Phone (509) 591-0462

Other names 1

  • Forever Homes Counseling Other name

National Provider Directory

National Provider Directory

Locations

1355 Columbia Park Trl
Ste E
Richland, WA 99352
Phone (509) 460-8006

Practitioners & affiliated clinicians

Practitioners 9

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": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1871929869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 W 27TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372415",
            "telephone_number": "509-591-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 W 27TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372415",
            "telephone_number": "509-591-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKES FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-591-0462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60401601",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60390821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Homes Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.