Active NPI
Rhonda Sue Watkins, CDP
- Addiction (Substance Use Disorder) Counselor
- Lakewood, WA
National Provider Identifier
1073745055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60068260
- Practice address
- 10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346 - Phone
- (253) 473-7474
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- 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 | CP60068260 | WA | Primary |
Addresses
Primary practice location
10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346
Mailing address
3711 78TH Avenue CT W Apt S204
University Place, WA 98466-3267
Phone (253) 326-3415
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 |
|---|---|---|---|
| CP60068260 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Treatment Center Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Crossroads Treatment Center, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
- NPI 1417025461
-
- Addiction (Substance Use Disorder) Counselor
- Lakewood, WA
- NPI 1417397951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1073745055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 78TH AVENUE CT W APT S204",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984663267",
"telephone_number": "253-326-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10828 GRAVELLY LAKE DR SW STE 204",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991346",
"telephone_number": "253-473-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "RHONDA",
"middle_name": "SUE",
"credential": "CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60068260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.