Individual provider Active NPI

Andrea Katherine Arany-Kovacs, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Shoreline, WA
National Provider Identifier
1043824899
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60626229 Issued in WA
Practice address
16715 Aurora Ave N Ste 102
Shoreline, WA 98133-5310
Phone
(206) 546-9766
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60626229 WA Primary

Addresses

Primary practice location

16715 Aurora Ave N Ste 102
Shoreline, WA 98133-5310

Mailing address

7315 224TH St SW Apt B6
Edmonds, WA 98026-8359
Phone (425) 356-7081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AndreaK@ths-wa.org Direct

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

LicenseStateTypeSpecialty
CP60626229WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health Services Addiction (Substance Use Disorder) CurrentSince Sep 6, 2020 Accepting new patients
Therapeutic Health Services PastSince Sep 6, 2020 Accepting new patients

Locations

16715 Aurora Ave N
#102
Shoreline, WA 98133
Phone (206) 323-0930

Interoperability endpoints

  • Direct secure messaging: andreak@ths-wa.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1043824899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 224TH ST SW APT B6",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268359",
            "telephone_number": "425-356-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 AURORA AVE N STE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335310",
            "telephone_number": "206-546-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANY-KOVACS",
        "first_name": "ANDREA",
        "middle_name": "KATHERINE",
        "credential": "SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60626229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AndreaK@ths-wa.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "16715 Aurora Ave N Ste 102",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981335310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.