NPIMap

Organization Active NPI

Behavioral Health Resources

  • Mental Illness Community Based Residential Treatment Facility
  • Tumwater, WA
National Provider Identifier
1952532996
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BEHAVIORAL HEALTH RESOURCES
Practice address
1275 S 2ND Ave SW
Tumwater, WA 98512-6976
Phone
(360) 704-7070
Fax
(360) 709-4374
NPI assigned
Aug 6, 2009
Last updated
Dec 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Eric Jensen
Title
Controller
Phone
(360) 236-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X WA Primary

Addresses

Primary practice location

1275 S 2ND Ave SW
Tumwater, WA 98512-6976

Mailing address

3857 Martin Way E
Olympia, WA 98506-5268
Phone (360) 704-7170

Other identifiers 1

IdentifierTypeStateIssuer
9640525MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Resouces8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1952532996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 MARTIN WAY E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065268",
            "telephone_number": "360-704-7170",
            "fax_number": "360-709-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S 2ND AVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126976",
            "telephone_number": "360-704-7070",
            "fax_number": "360-709-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "360-236-7170"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9640525",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.