Joseph Charles Peloso III, CP 61341135

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61341135 Issued in WA

Practice address

105 W 3Rd Ave
Spokane, WA 99201-3609

Phone

(509) 570-7247

Fax

(509) 982-8989

NPI assigned

Sep 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

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 Detox Services of Spokane

  • Adult Mental Health Clinic/Center
  • Spokane, WA
  • NPI 1841957990
  NPD
• Spokane Treatment and Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
  • NPI 1104957323
  NPD

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1043794340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013609",
            "telephone_number": "509-570-7247",
            "fax_number": "509-982-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013609",
            "telephone_number": "509-570-7247",
            "fax_number": "509-982-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSO III",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "CP 61341135",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61341135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123053",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffani Lana Pelella
• Trina Joy Pelletier, LMP
• Patrick L Pellett, CDPT
• Katherine E Pellow, CRNA
• Thomas R Pellow, MD
• Christie Ann Pelz, LASW, MHP, CMHS
• Jennifer Pelzel
• Amy Marie Pemberton, DPT
• Jaya Praveen Kumar Penagaluri
• Stephen Penaskovic

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, 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 Jan 30, 2025; 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.