NPIMap

Organization Active NPI

Spokane Treatment and Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1104957323
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SPOKANE TREATMENT AND RECOVERY SERVICES
Practice address
4324 N Jefferson St
Spokane, WA 99205-1209
Phone
(509) 315-8682
Fax
(509) 327-7816
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Joshua Mayer
Title
Interim Executive Director
Phone
(509) 570-7250

Specialties & licenses 1

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

Addresses

Primary practice location

4324 N Jefferson St
Spokane, WA 99205-1209

Mailing address

PO Box 2845
Spokane, WA 99220-2845
Phone (509) 477-4633

National Provider Directory

National Provider Directory
Tax ID family
Community Detox Services of Spokane2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4324 N Jefferson St
Spokane, WA 99205
Phone (509) 315-8682

312 W 8th Ave
Spokane, WA 99204
Phone (509) 324-1420

628 S Cowley St
Spokane, WA 99202
Phone (509) 624-3227

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1104957323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202845",
            "telephone_number": "509-477-4633",
            "fax_number": "506-477-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 N JEFFERSON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051209",
            "telephone_number": "509-315-8682",
            "fax_number": "509-327-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE TREATMENT AND RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-570-7250"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.