NPIMap

Organization Active NPI

Evergreen Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burlington, WA
National Provider Identifier
1063356814
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EVERGREEN RECOVERY CENTERS
Practice address
160 Cascade PL Ste 110
Burlington, WA 98233-3126
Phone
(425) 493-5310
Fax
(425) 263-9706
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EVERGREEN RECOVERY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Kathy Lynn Kain
Title
Chief Quality Officer
Phone
(425) 322-0867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

160 Cascade PL Ste 110
Burlington, WA 98233-3126

Mailing address

PO Box 12598
Everett, WA 98206-2598
Phone (425) 465-7296

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Recovery Centers-Health Services7 organizations share this tax ID, including this one
Part of
Evergreen Recovery Centers-Health Services

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Cascade Pl
Ste 110
Burlington, WA 98233
Phone (360) 320-8013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1063356814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12598",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982062598",
            "telephone_number": "425-465-7296",
            "fax_number": "425-263-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CASCADE PL STE 110",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333126",
            "telephone_number": "425-493-5310",
            "fax_number": "425-263-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN RECOVERY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN RECOVERY CENTERS",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KAIN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF QUALITY OFFICER",
        "authorized_official_telephone_number": "425-322-0867"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.