Active NPI
Simonne Marie Crooks, BA, SUDP, AAC
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
National Provider Identifier
1003362401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60778014
- Practice address
- 22 S Thor St
Spokane, WA 99202-4855 - Phone
- (509) 532-2000
- Fax
- (509) 532-2005
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO 60660174 | WA | |
| Professional Counselor | 101YP2500X | CG61381785 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60778014 | WA | Primary |
Addresses
Primary practice location
22 S Thor St
Spokane, WA 99202-4855
Mailing address
22 S Thor St
Spokane, WA 99202-4855
Phone (509) 532-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO 60660174 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CP60778014 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CG61381785 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yfa Connections | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1619058997
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1003362401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S THOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024855",
"telephone_number": "509-532-2000",
"fax_number": "509-532-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S THOR ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024855",
"telephone_number": "509-532-2000",
"fax_number": "509-532-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKS",
"first_name": "SIMONNE",
"middle_name": "MARIE",
"credential": "BA, SUDP, AAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO 60660174",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "CG61381785",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60778014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.