Organization Active NPI

Options Treatment and Evaluations Inc

  • Substance Abuse Rehabilitation Facility
  • Lynnwood, WA
National Provider Identifier
1023167152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
310300ALCHOL DRUG Issued in WA
Legal business name
OPTIONS TREATMENT AND EVALUATIONS INC
Practice address
15620 Hwy 99
Suite 11
Lynnwood, WA 98087
Phone
(425) 742-6410
Fax
(425) 742-9350
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Danny Ray Reynolds, COP MAC NCACII
Title
Clinical Supervisor
Phone
(425) 742-6410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 310300ALCHOL DRUG WA Primary
Substance Abuse Rehabilitation Facility 324500000X WA

Addresses

Primary practice location

15620 Hwy 99
Suite 11
Lynnwood, WA 98087

Mailing address

15620 Hwy 99
Suite 11
Lynnwood, WA 98087
Phone (425) 742-6410

Other identifiers 3

IdentifierTypeStateIssuer
44481OtherCIGNA
743OtherBLUE CROSS
OP1569OtherPREGENCE

National Provider Directory

National Provider Directory

Locations

15620 Highway 99
Ste 11
Lynnwood, WA 98087
Phone (425) 742-6410

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023167152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 HWY 99",
            "address_2": "SUITE 11",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98087",
            "telephone_number": "425-742-6410",
            "fax_number": "425-742-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 HWY 99",
            "address_2": "SUITE 11",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98087",
            "telephone_number": "425-742-6410",
            "fax_number": "425-742-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS TREATMENT AND EVALUATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "425-742-6410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COP MAC NCACII"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "310300ALCHOL DRUG",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "44481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREGENCE",
            "identifier": "OP1569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.