Katie Marie Person, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61001878 Issued in WA

Practice address

327 Okanogan Ave
Wenatchee, WA 98801

Phone

(509) 662-9673

Fax

(509) 662-9441

NPI assigned

Aug 5, 2020

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prosperity Counseling & Treatment Services Inc.

  dba Prosperity Wellness Center

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1750821781
  NPD (past)
• Prosperity Counseling & Treatment SVCS

  dba Prosperity Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Tacoma, WA
  • NPI 1972634939
  NPD (past)
• The Center for Alcohol and Drug Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wenatchee, WA
  • NPI 1780771238
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1013527886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 950",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98807",
            "telephone_number": "509-662-9673",
            "fax_number": "509-662-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 OKANOGAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "509-662-9673",
            "fax_number": "509-662-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984445126",
            "country_code": "US",
            "telephone_number": "253-536-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERSON",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61001878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Guadalupe Perez, MD
• Performance Edge Therapy
• Danielle Renee Perkins, RN
• Lance W Perrin, PA-C
• Elizabeth Marie Perry, MD
• Amelie Michele Peryea, M.D.
• Hannah Lynn Peters, RN
• Nyssa Petersen Ventura, PHD
• Lisa Jo Petersen, M.D.
• Hannah Jo Peterson-Kinney, CNM

• Addiction (Substance Use Disorder) Counselor in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.