NPIMap

Organization Active NPI

Comprehensive Mental Health Center of Tacoma-Pierce County

Doing business as Comprehensive Life Resources

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1952597056
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
053 Issued in WA
Legal business name
COMPREHENSIVE MENTAL HEALTH CENTER OF TACOMA-PIERCE COUNTY
Doing business as
Comprehensive Life Resources
Practice address
737 Fawcett Ave
Tacoma, WA 98402-5503
Phone
(253) 396-5800
Fax
(253) 396-5825
NPI assigned
Sep 21, 2007
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Kelci Nix
Title
Credentialing Specialist
Phone
(253) 396-5800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 053 WA
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X 053 WA Primary

Addresses

Primary practice location

737 Fawcett Ave
Tacoma, WA 98402-5503

Mailing address

737 Fawcett Ave
Tacoma, WA 98402-5503
Phone (253) 396-5800

Other identifiers 1

IdentifierTypeStateIssuer
1984103MedicaidWA

Other names 1

  • Comprehensive Life Resources Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000509 WA Part B Supplier - Clinic/Group Practice 8426139932 Receives reassigned benefits from 3 practitioners
Practice locations: Tacoma, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2117608Comprehensive Life Resources Adult Community737 Fawcett, Tacoma, WA 98402Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1305 Tacoma Ave S
Tacoma, WA 98402
Phone (253) 396-5065

1305 Tacoma Ave S
Ste 201
Tacoma, WA 98402
Phone (253) 396-5823

1305 Tacoma Ave S
Ste 305
Tacoma, WA 98402
Phone (253) 396-5155

514 S 13th St
Tacoma, WA 98402

Practitioners & affiliated clinicians

Practitioners 237

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 237

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1952597056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025503",
            "telephone_number": "253-396-5800",
            "fax_number": "253-396-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 FAWCETT AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025503",
            "telephone_number": "253-396-5800",
            "fax_number": "253-396-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MENTAL HEALTH CENTER OF TACOMA-PIERCE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "KELCI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "253-396-5800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "053",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1984103",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Life Resources",
            "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 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.