NPIMap

Organization Active NPI

Beacon of Hope, Incorporated

  • Community/Behavioral Health Agency
  • Port Townsend, WA
National Provider Identifier
1972034122
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CP60235589 Issued in WA
Legal business name
BEACON OF HOPE, INCORPORATED
Practice address
686 Lake St Ste 400
Port Townsend, WA 98368-2282
Phone
(360) 385-3876
Fax
(360) 385-7288
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mr. Clarence William Wetherald Sr., CDP
Title
Counselor
Phone
(360) 385-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CP60235589 WA Primary

Addresses

Primary practice location

686 Lake St Ste 400
Port Townsend, WA 98368-2282

Mailing address

686 Lake St Ste 400
Port Townsend, WA 98368-2282
Phone (360) 385-3876

National Provider Directory

National Provider Directory
Tax ID family
Beacon of Hope Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1972034122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 LAKE ST STE 400",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682282",
            "telephone_number": "360-385-3876",
            "fax_number": "360-385-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 LAKE ST STE 400",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682282",
            "telephone_number": "360-385-3876",
            "fax_number": "360-385-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "WETHERALD",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "360-385-3866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CP60235589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.