PROSPERITY WELLNESS CENTER
NPI 1750821781
Community/Behavioral Health in Tacoma, WA

Q: What is Prosperity Counseling & Treatment Services Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 23, 2017CLIA 50D2104240 · Waiver

12201 PACIFIC AVE S, TACOMA, WA 98444(253) 536-6425(253) 536-6637 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2024, Jan 21, 2022, Feb 23, 2017 (3 updates tracked since 2017).

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About Prosperity Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPERITY WELLNESS CENTER (NPI 1750821781) is a healthcare organization registered as a community/behavioral health in Tacoma, Washington and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Magdalen Gustilo, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1750821781

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROSPERITY COUNSELING & TREATMENT SERVICES INC.

Location Address12201 PACIFIC AVE STacoma, WA 98444-5126

Mailing Address18401 Von Karman Ave Ste 500Irvine, CA 92612-8531 · (714) 828-1800 · Fax (714) 882-1186

Phone(253) 536-6425

Fax(253) 536-6637

Organization SubpartYes

Authorized OfficialMagdalen GustiloDirector Of Payer Relations · (714) 568-7667

Enumeration DateFebruary 23, 2017

Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2024

✔ NPI 1750821781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in WA · 168900

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

12201 PACIFIC AVE S, Tacoma, WA 98444

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Other Names 1

Doing Business AsProsperity Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2104240

Prosperity Wellness Center · Tacoma, WA

Active · expires Apr 4, 2028

CLIA Number50D2104240

Laboratory TypeDrug Treatment

Certificate Effective DateOctober 30, 2015

Certificate Expiration DateApril 4, 2028

Laboratory DirectorLaura Poci

Laboratory Phone(253) 536-6425

Laboratory LocationProsperity Wellness Center12201 Pacific Ave S, Tacoma, WA 98444

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIMBERLY ELIZABETH SPARKS CDP

Counselor (Addiction (Substance Use Disorder))