NPIMap

Organization Active NPI

Ravenswood Counseling

  • Adult Mental Health Clinic/Center
  • Lacey, WA
National Provider Identifier
1952817454
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LF60797974 Issued in WA
Legal business name
RAVENSWOOD COUNSELING
Practice address
8284 28TH CT NE Ste a
Lacey, WA 98516-7161
Phone
(360) 742-0418
NPI assigned
Dec 19, 2017
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Dave Boyd, LMFTNPI 1275073041
Title
Owner
Phone
(360) 742-0418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LF60797974 WA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LF60797974 WA

Addresses

Primary practice location

8284 28TH CT NE Ste a
Lacey, WA 98516-7161

Mailing address

2824 28TH CT NE
Suite a
Lacey, WA 98516
Phone (360) 742-0418

Other practice location 1

1005 Olympia Ave NE
Olympia, WA 98506-4033
Phone (360) 742-0418

Other practice location 2

1126 S Gold St Ste 228
Centralia, WA 98531-3768
Phone (360) 742-0418

National Provider Directory

National Provider Directory

Locations

1126 S Gold St
Ste 228
Centralia, WA 98531
Phone (360) 742-0418

Practitioners & affiliated clinicians

Practitioners 1

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1952817454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 28TH CT NE",
            "address_2": "SUITE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "360-742-0418",
            "fax_number": "360-980-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167161",
            "telephone_number": "360-742-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Olympia Ave NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985064033",
            "country_code": "US",
            "telephone_number": "360-742-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 S Gold St Ste 228",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985313768",
            "country_code": "US",
            "telephone_number": "360-742-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVENSWOOD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-07-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-742-0418",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LF60797974",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": "LF60797974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.