Organization Active NPI

Sexual Assault Center of Pierce County

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1891073813
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEXUAL ASSAULT CENTER OF PIERCE COUNTY
Practice address
633 N Mildred St Ste J
Tacoma, WA 98406-1725
Phone
(253) 597-6424
Fax
(253) 597-6443
NPI assigned
Jul 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Ms. Tasha Church
Title
Executive Director
Phone
(253) 597-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

633 N Mildred St Ste J
Tacoma, WA 98406-1725

Mailing address

633 N Mildred St Ste J
Tacoma, WA 98406-1725
Phone (253) 597-6424

Other names 1

  • Rebuilding Hope Sexual Assault Center for Pierce County Other name

National Provider Directory

National Provider Directory

Locations

633 N Mildred St
Ste J
Tacoma, WA 98406
Phone (253) 597-6424

Practitioners & affiliated clinicians

Practitioners 1

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": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1891073813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N MILDRED ST STE J",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061725",
            "telephone_number": "253-597-6424",
            "fax_number": "253-597-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N MILDRED ST STE J",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061725",
            "telephone_number": "253-597-6424",
            "fax_number": "253-597-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXUAL ASSAULT CENTER OF PIERCE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-597-6424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebuilding Hope Sexual Assault Center for Pierce County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.