Jeremiah Thunderwalker Saucier, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO60117863 Issued in WA

Practice address

8717 S Hosmer St
Tacoma, WA 98444-1819

Phone

(253) 473-7474

NPI assigned

Nov 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Treatment Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
  • NPI 1417025461
  NPD Authorized official
• Crossroads Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
  • NPI 1619180809
  NPD
• Crossroads Treatment Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, WA
  • NPI 1417397951
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1124355466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-473-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-473-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "JEREMIAH",
        "middle_name": "THUNDERWALKER",
        "name_prefix": "Mr.",
        "credential": "SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60117863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "CO60117863",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPARTMENT OF HEALTH",
            "identifier": "RC60098609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Kristine Satter
• Rachel M Satter, PHD
• Holsey Satterwhite, LICSW, LMHC
• Jo Ann Sauceda
• Jennifer Renae Saucier
• Solema Sauileone, MHT
• Taligalutereise Leutu Sauileone
• Maritess Aurelio Saunar, CNP
• Angelique Saunders
• Fiona Saunders

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, 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 Apr 12, 2022; 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.