NPIMap

Organization Active NPI

Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1912008178
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC
Practice address
2420 S Union Ave
Tacoma, WA 98405-1322
Phone
(253) 752-7320
Fax
(480) 888-9679
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Ryan Pardo
Title
Chief Legal Officer
Phone
(425) 279-8500

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0807X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

2420 S Union Ave
Tacoma, WA 98405-1322

Mailing address

PO Box 8550
Pasadena, CA 91109-8550
Phone (425) 279-8500

Other practice location 1

1448 NW Market St
Seattle, WA 98107-3743
Phone (206) 910-9476

Other practice location 2

12900 NE 180th St Ste 201
Bothell, WA 98011-5773
Phone (253) 752-7320

Other practice location 3

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607
Phone (503) 612-1000

Other identifiers 1

IdentifierTypeStateIssuer
164936MedicaidOR

Other names 1

  • LifeStance Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000049 OR Part B Supplier - Clinic/Group Practice 7719975085 Receives reassigned benefits from 300 practitioners
Practice locations: Eugene, OR; Portland, OR; Lake Oswego, OR; Tigard, OR; Tualatin, OR; Vancouver, WA; West Linn, OR; Hillsboro, OR…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Western Pysch Cnslg S18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

2211 NW Professional Dr
Ste 101
Corvallis, OR 97330
Phone (541) 257-5500

4185 SW Research Way
Ste 110
Corvallis, OR 97333
Phone (541) 257-5500

66 Club Rd
Eugene, OR 97401
Phone (360) 510-4033

66 Club Rd
Ste 300
Eugene, OR 97401

890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515

2222 E Powell Blvd
Gresham, OR 97080
Phone (503) 669-4300

10151 SE Sunnyside Rd
Ste 480
Happy Valley, OR 97015
Phone (503) 739-8321

9755 SW Barnes Rd
Ste 650
Portland, OR 97225
Phone (503) 444-4862

1815 SW Marlow Ave
Ste 218
Portland, OR 97225
Phone (503) 444-4862

7160 SW Hazelfern Rd
Ste 200
Tigard, OR 97224
Phone (503) 624-2600

7455 SW Beveland Rd
Tigard, OR 97223
Phone (503) 624-2600

18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000

12900 NE 180th St
Ste 160
Bothell, WA 98011
Phone (206) 350-7506

22500 SE 64th Pl
Ste 230
Issaquah, WA 98027
Phone (425) 409-6414

350 S 38th Ct
Ste 210
Renton, WA 98055
Phone (425) 654-7020

22620 SE 4th St
Ste 130
Sammamish, WA 98074
Phone (425) 659-5313

1448 NW Market St
Ste 210
Seattle, WA 98107
Phone (206) 910-9476

2420 S Union Ave
Tacoma, WA 98405
Phone (253) 756-0888

2103 NE 129th St
Ste 101
Vancouver, WA 98686
Phone (360) 574-9303

Practitioners & affiliated clinicians

Practitioners 553

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 553

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1912008178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8550",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911098550",
            "telephone_number": "425-279-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-752-7320",
            "fax_number": "480-888-9679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1448 NW Market St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981073743",
            "country_code": "US",
            "telephone_number": "206-910-9476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12900 NE 180th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980115773",
            "country_code": "US",
            "telephone_number": "253-752-7320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18765 SW Boones Ferry Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628607",
            "country_code": "US",
            "telephone_number": "503-612-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN PSYCHOLOGICAL AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "425-279-8500"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 12, 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.