NPIMap

Organization Active NPI

Loving Heal Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, WA
National Provider Identifier
1982167474
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOVING HEAL PSYCHIATRIC SERVICES LLC
Practice address
22634 10TH Ave S
Des Moines, WA 98198-6915
Phone
(206) 235-8113
Fax
(206) 653-7300
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Lakew Adnew, DNP,PMHNP-BCNPI 1710389846
Title
Owner
Phone
(206) 235-8112

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

22634 10TH Ave S
Des Moines, WA 98198-6915

Mailing address

22634 10TH Ave S
Des Moines, WA 98198-6915
Phone (206) 235-8113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lake@konjomarkets.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: lake@konjomarkets.com

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1982167474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22634 10TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986915",
            "telephone_number": "206-235-8113",
            "fax_number": "206-653-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22634 10TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986915",
            "telephone_number": "206-235-8113",
            "fax_number": "206-653-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING HEAL PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "ADNEW",
        "authorized_official_first_name": "LAKEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-235-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lake@konjomarkets.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22634 10th Ave S",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981986915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.