Active NPI
Joseph J Larocque, SUDP
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
National Provider Identifier
1154938041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP61334705
- Practice address
- 3710 N Monroe St
Spokane, WA 99205-2850 - Phone
- (509) 328-5234
- Fax
- (509) 328-2358
- NPI assigned
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | CP61334705 | WA | Primary |
Addresses
Primary practice location
3710 N Monroe St
Spokane, WA 99205-2850
Mailing address
1919 W Gardner Ave
Spokane, WA 99201-1743
Phone (509) 850-1354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2204287 | Medicaid | WA | |
| 2077844 | Medicaid | WA |
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 |
|---|---|---|---|
| CP61334705 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Recovery Center | Past | Accepting new patients | |
| American Behavioral Health Systems, Inc. | Past | Accepting new patients | |
| American Behavioral Health Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- Chehalis, WA
- NPI 1598123226
-
- Substance Abuse Rehabilitation Facility
- Spokane Valley, WA
- NPI 1962991661
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1396895496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1154938041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 W GARDNER AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992011743",
"telephone_number": "509-850-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 N MONROE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992052850",
"telephone_number": "509-328-5234",
"fax_number": "509-328-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCQUE",
"first_name": "JOSEPH",
"middle_name": "J",
"credential": "SUDP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP61334705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204287",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2077844",
"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 Aug 25, 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.