Active NPI
Magnolia Counseling Services
- Community/Behavioral Health Agency
- Tukwila, WA
National Provider Identifier
1942938634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAGNOLIA COUNSELING SERVICES
- Practice address
- 14000 Interurban Ave S
Tukwila, WA 98168-4723 - Phone
- (206) 693-9202
- Fax
- (206) 248-1160
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lander Mitchell
- Title
- Director
- Phone
- (206) 693-9202
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
14000 Interurban Ave S
Tukwila, WA 98168-4723
Mailing address
PO Box 88732
Seattle, WA 98138-2732
Phone (206) 693-9202
Other names 1
- Magnolia Counseling Services
National Provider Directory
National Provider DirectoryLocations
14000 Interurban Ave S
Tukwila, WA 98168
Phone (206) 693-9202
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": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1942938634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88732",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981382732",
"telephone_number": "206-693-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 INTERURBAN AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981684723",
"telephone_number": "206-693-9202",
"fax_number": "206-248-1160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "LANDER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "206-693-9202"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Counseling Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia Counseling Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.