Individual provider Active NPI

Stephanie Danyel Washingtoncook

  • Addiction (Substance Use Disorder) Counselor
  • Chandler, AZ
National Provider Identifier
1174312839
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAAC-15561 Issued in AZ
Practice address
908 W Chandler Blvd # a
Chandler, AZ 85225-2548
Phone
(480) 764-2863
Fax
(480) 907-1561
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 LAAC-15561 AZ Primary

Addresses

Primary practice location

908 W Chandler Blvd # a
Chandler, AZ 85225-2548

Mailing address

13401 N 107TH Dr
Sun City, AZ 85351-2625
Phone (616) 337-6573

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL securerecords Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
LAAC-15561AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1174312839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 N 107TH DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512625",
            "telephone_number": "616-337-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W CHANDLER BLVD # A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252548",
            "telephone_number": "480-764-2863",
            "fax_number": "480-907-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTONCOOK",
        "first_name": "STEPHANIE",
        "middle_name": "DANYEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LAAC-15561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "908 W Chandler Blvd # A",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852252548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.