Active NPI
Joseph M. Waner, CPD, NCAC, CDCC III
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
National Provider Identifier
1124419056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00002520
- Practice address
- 6218 N Hartley St
Spokane, WA 99208-3760 - Phone
- (509) 496-8832
- NPI assigned
- Feb 13, 2015
- Sex
- Male
- 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 | CP00002520 | WA | Primary |
Addresses
Primary practice location
6218 N Hartley St
Spokane, WA 99208-3760
Mailing address
6218 N Hartley St
Spokane, WA 99208-3760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP0002520 | Other | WA | WASHINGTON STATE CERTIFICATE |
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 |
|---|---|---|---|
| CP00002520 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1124419056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 N HARTLEY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992083760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 N HARTLEY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992083760",
"telephone_number": "509-496-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANER",
"first_name": "JOSEPH",
"middle_name": "M.",
"credential": "CPD, NCAC, CDCC III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE CERTIFICATE",
"identifier": "CP0002520",
"state": "WA"
}
],
"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 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.