Active NPI
Matthew Hodson, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1033879341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61089519
- Practice address
- 10001 17TH PL S
Seattle, WA 98168-1615 - Phone
- (206) 766-6969
- NPI assigned
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61089519 | WA | Primary |
Addresses
Primary practice location
10001 17TH PL S
Seattle, WA 98168-1615
Mailing address
9635 Des Moines Mem Dr S Unit 210
Seattle, WA 98108-5061
Phone (206) 658-2175
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO61089519 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients |
Locations
10001 17th Pl S
Seattle, WA 98168
Phone (206) 766-6976
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1366590770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1033879341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9635 DES MOINES MEM DR S UNIT 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981085061",
"telephone_number": "206-658-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 17TH PL S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981681615",
"telephone_number": "206-766-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODSON",
"first_name": "MATTHEW",
"credential": "SUDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61089519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.