Individual provider Active NPI

Tiffany E Thomas

  • Addiction (Substance Use Disorder) Counselor
  • Bremerton, WA
National Provider Identifier
1144720608
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO60748516 Issued in WA
Practice address
7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242
Phone
(360) 698-9258
Fax
(360) 698-9296
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60748516 WA Primary

Addresses

Primary practice location

7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242

Mailing address

7500 Old Military Rd NE Ste 103
Bremerton, WA 98311-3242
Phone (360) 698-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002906 WA Practitioner - Mental Health Counselor 5395241442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15127 Main St E
Unit 104
Sumner, WA 98390-2689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO60748516WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Never 2 Late LLC Addiction (Substance Use Disorder) CurrentSince Jul 17, 2025 Accepting new patients

Locations

5515 Steilacoom Blvd SW
Ste 120
Lakewood, WA 98499
Phone (253) 279-7992

15127 Main St E
Unit 104
Sumner, WA 98390

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144720608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE STE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113242",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE STE 103",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113242",
            "telephone_number": "360-698-9258",
            "fax_number": "360-698-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIFFANY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60748516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.