COMMUNITY COUNSELING CLINIC LLC
NPI 1942337076
Counselor - Addiction (Substance Use Disorder) in Union Gap, WA

Active since February 27, 2007
2642 MAIN ST, UNION GAP, WA 98903(509) 452-6546(509) 452-6965 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Counseling Clinic Llc NPPES

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

COMMUNITY COUNSELING CLINIC LLC (NPI 1942337076) is a healthcare organization registered as an addiction (substance use disorder) in Union Gap, Washington and active in the NPI registry since February 2007. The organization lists Carolyn Kay Fries, Administrator Sr Member, as its authorized official.

NPPES Registry Identity

NPI1942337076
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCOMMUNITY COUNSELING CLINIC LLC
Location Address2642 MAIN STUnion Gap, WA 98903-1752
Mailing AddressPo Box 3036Union Gap, WA 98903-0036 · (509) 452-6546 · Fax (509) 452-6965
Fax(509) 452-6965
Organization SubpartNo
Authorized OfficialCarolyn Kay FriesAdministrator Sr Member · (509) 452-6546
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1942337076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2642 MAIN ST, Union Gap, WA 98903

Other Identifiers 4

Medicaid1995448WA
Other7500COWA · Regence Blue Shield
OtherA7570WA · Premera Blue Cross
OtherCP00002903WA · Darrell G Fries Cdp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Counseling Clinic LLC's NPI number?

The NPI number for Community Counseling Clinic LLC is 1942337076. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Community Counseling Clinic LLC located?

Community Counseling Clinic LLC is located at 2642 Main St, Union Gap, WA 98903. The listed phone number is (509) 452-6546.

What is Community Counseling Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Community Counseling Clinic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.