Organization Active NPI

Beacon Couple & Family Therapy

  • Clinical Social Worker
  • Bainbridge Island, WA
National Provider Identifier
1932377637
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW7685 Issued in WA
Legal business name
BEACON COUPLE & FAMILY THERAPY
Practice address
793 Ericksen Ave NE Ste 123
Bainbridge Island, WA 98110-1877
Phone
(206) 853-6852
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Angie L. Hoffpauir, PH.D.NPI 1962618132
Title
Couple and Family Therapist
Phone
(206) 853-6852

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW7685 WA Primary

Addresses

Primary practice location

793 Ericksen Ave NE Ste 123
Bainbridge Island, WA 98110-1877

Mailing address

793 Ericksen Ave NE Ste 123
Bainbridge Island, WA 98110-1877
Phone (206) 853-6852

National Provider Directory

National Provider Directory

Locations

793 Ericksen Ave NE
Ste 123
Bainbridge Island, WA 98110
Phone (206) 207-5375

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1932377637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 ERICKSEN AVE NE STE 123",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101877",
            "telephone_number": "206-853-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 ERICKSEN AVE NE STE 123",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101877",
            "telephone_number": "206-853-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON COUPLE & FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HOFFPAUIR",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COUPLE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "206-853-6852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.