Active NPI
Richard Whittington, S.U.D.P.
- Addiction (Substance Use Disorder) Counselor
- Centralia, WA
National Provider Identifier
1144680927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00006261
- Practice address
- 3510 Steelhammer Lane
Centralia, WA 98531 - Phone
- (360) 397-8070
- Fax
- (360) 397-8017
- NPI assigned
- Mar 7, 2016
- 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 | CDP00006261 | WA | Primary |
Addresses
Primary practice location
3510 Steelhammer Lane
Centralia, WA 98531
Mailing address
3510 Steelhanner Lane
Centralia, WA 98531
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 |
|---|---|---|---|
| CDP00006261 | 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": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1144680927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 STEELHANNER LANE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 STEELHAMMER LANE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "98531",
"telephone_number": "360-397-8070",
"fax_number": "360-397-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTINGTON",
"first_name": "RICHARD",
"credential": "S.U.D.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-07",
"last_updated": "2021-08-20",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CDP00006261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.