NPIMap

Organization Active NPI

The Emmaus Center

Doing business as Emmaus Counseling Center

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1891898953
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE EMMAUS CENTER
Doing business as
Emmaus Counseling Center
Practice address
1124 Stevens Dr
Richland, WA 99354-3360
Phone
(509) 946-1430
Fax
(509) 946-1432
NPI assigned
Sep 6, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Robert D Olson III, LMHCNPI 1114022035
Title
Executive Director
Phone
(509) 946-1430

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1124 Stevens Dr
Richland, WA 99354-3360

Mailing address

PO Box 1428
Richland, WA 99352-1428
Phone (509) 946-1430

Other practice location 1

2330 Eastgate St Ste 105
Walla Walla, WA 99362-1559
Phone (509) 876-4009

Other identifiers 1

IdentifierTypeStateIssuer
7880206MedicaidWA

Other names 1

  • Emmaus Counseling Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131008000806 WA Part B Supplier - Clinic/Group Practice 2961645064 Receives reassigned benefits from 8 practitioners
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

1124 Stevens Dr
Richland, WA 99354
Phone (509) 876-4009

2330 Eastgate St
Ste 105
Walla Walla, WA 99362
Phone (509) 529-4744

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1891898953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1428",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521428",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Eastgate St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993621559",
            "country_code": "US",
            "telephone_number": "509-876-4009",
            "fax_number": "509-946-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE EMMAUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-946-1430",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7880206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmaus Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.