NPIMap

Organization Active NPI

Asian American Chemical Dependency Treatment Services

Doing business as Asian Counseling Treatment Services

  • Community/Behavioral Health Agency
  • Lakewood, WA
National Provider Identifier
1144451048
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
27145700 Issued in WA
Legal business name
ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES
Doing business as
Asian Counseling Treatment Services
Practice address
9102 Bridgeport Way SW
Lakewood, WA 98499-2418
Phone
(253) 302-3826
Fax
(253) 267-5212
NPI assigned
Jul 27, 2009
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Mr. Tae Son Lee, CDP
Title
Executive Director
Phone
(253) 302-3826

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 27145700 WA Primary
Clinic/Center 261Q00000X
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 27145700 WA

Addresses

Primary practice location

9102 Bridgeport Way SW
Lakewood, WA 98499-2418

Mailing address

9100 Bridgeport Way SW
Lakewood, WA 98499-2427
Phone (253) 302-3826

Other identifiers 1

IdentifierTypeStateIssuer
2001629MedicaidWA

Other names 1

  • Asian Counseling Treatment Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207001351 WA Part B Supplier - Clinic/Group Practice 2062848104 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Lakewood, WA; Lynnwood, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian Amer Chem Dependency2 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

9100 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 302-3826

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1144451048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992427",
            "telephone_number": "253-302-3826",
            "fax_number": "253-267-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992418",
            "telephone_number": "253-302-3826",
            "fax_number": "253-267-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-302-3826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "27145700",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "27145700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001629",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Counseling Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.