Miles Raphael Weiss Gingrich

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDPT.CO.70142848 Issued in WA

Practice address

1905 Continental PL
Mount Vernon, WA 98273-5633

Phone

(360) 755-6400

Fax

(360) 755-6407

NPI assigned

Jun 11, 2026

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Evergreen Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Mount Vernon, WA
  • NPI 1023515400
  NPD (past)

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1093649279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOGANBERRY LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294417",
            "telephone_number": "505-365-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CONTINENTAL PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735633",
            "telephone_number": "360-755-6400",
            "fax_number": "360-755-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "MILES RAPHAEL",
        "middle_name": "WEISS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDPT.CO.70142848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDPT LICENSE FROM DOH",
            "identifier": "CDPT.CO.70142848",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verena Maria Giebels, LMP
• Judy Gilbert, RN
• Karen A. Gilbert, ARNP
• Kimberly Gilmore, ND
• Cyrena Gilpatrick, LM, CPM, MSM
• Alina V Gis, PA-C
• Miyabi Gladstein, LMP
• Heather D Glenn, LMT
• Jeremy W Godsell, MD
• E Carol Goetter, MD

• Addiction (Substance Use Disorder) Counselor in Mount Vernon, WA
• Providers in Mount Vernon, 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 Jun 11, 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.