Individual provider Active NPI

Adriana Andrea Moncada, CHEMICAL DEPENDENCY

  • Addiction (Substance Use Disorder) Counselor
  • Toppenish, WA
National Provider Identifier
1184188856
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00004814 Issued in WA
Practice address
20 Gunnyon Road
Toppenish, WA 98948
Phone
(509) 865-5121
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 00004814 WA Primary

Addresses

Primary practice location

20 Gunnyon Road
Toppenish, WA 98948

Mailing address

3507 W Birchfield Rd
Yakima, WA 98901-9595
Phone (509) 379-1112

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
00004814WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1184188856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 W BIRCHFIELD RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989019595",
            "telephone_number": "509-379-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GUNNYON ROAD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCADA",
        "first_name": "ADRIANA",
        "middle_name": "ANDREA",
        "credential": "CHEMICAL DEPENDENCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "00004814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.