PROSPERITY WELLNESS CENTER
NPI 1972634939
Substance Abuse Rehabilitation Facility in Tacoma, WA

Q: What is Prosperity Counseling & Treatment Svcs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since March 08, 2007CLIA 50D2104237 · Waiver

5001 112TH ST E, TACOMA, WA 98446(714) 828-1800(714) 882-1186 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2023, Jan 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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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 1972634939) is a healthcare organization registered as a substance abuse rehabilitation facility in Tacoma, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Tacoma, and lists Magdalen Gustilo, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1972634939

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePROSPERITY COUNSELING & TREATMENT SVCS

Location Address5001 112TH ST ETacoma, WA 98446-5307

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

Phone(714) 828-1800

Fax(714) 882-1186

Organization SubpartNo

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

Enumeration DateMarch 8, 2007

Last NPPES UpdateMay 8, 20233 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1972634939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in WA · RTF1042

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5001 112TH ST E, Tacoma, WA 98446

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Other Names 1

Doing Business AsProsperity Wellness Center

Secondary Practice Location 1

Location 112201 Pacific Ave STacoma, WA 98444-5126 · Phone (714) 828-1800 · Fax (714) 882-1186

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 50D2104237

Prosperity Wellness Center · Tacoma, WA

Active · expires Apr 4, 2028

CLIA Number50D2104237

Laboratory TypeDrug Treatment

Certificate Effective DateOctober 30, 2015

Certificate Expiration DateApril 4, 2028

Laboratory DirectorLaura Poci

Laboratory Phone(253) 531-2103

Laboratory LocationProsperity Wellness Center5001 112th St E, Tacoma, WA 98446

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 12

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

CHASITY L BARROW CDP-T

Counselor (Addiction (Substance Use Disorder))