COMMUNITY COUNSELING INSTITIUTE NPI 1215130166

NPI Information

  • NPI: 1215130166
  • Provider Name: COMMUNITY COUNSELING INSTITIUTE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 50D1092091
  • Address: 2502 TACOMA AVE S
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 759-0852

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NPI Details

COMMUNITY COUNSELING INSTITIUTE is a specialist in Tacoma, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMMUNITY COUNSELING INSTITIUTE NPI is 1215130166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2502 TACOMA AVE S
TACOMA, WA
ZIP 98402-310
Phone: (253) 759-0852
Fax: (253) 752-0514

The provider's authorized official is William James .
The authorized official title is Executive Director and has the following contact phone number (253) 759-0852.

The CLIA number assigned to this NPI record is 50D1092091 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist27-0908-00WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11995422MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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