Active NPI
Todd M. Davidson, CDPT
- Addiction (Substance Use Disorder) Counselor
- Neah Bay, WA
National Provider Identifier
1194092395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO 60124036
- Practice address
- 1001 Bay View Ave.
Neah Bay, WA 98357 - Phone
- (360) 645-2461
- NPI assigned
- Nov 17, 2011
- 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 | CO 60124036 | WA | Primary |
Addresses
Primary practice location
1001 Bay View Ave.
Neah Bay, WA 98357
Mailing address
1528 W. 4TH Street
Port Angeles, WA 98363
Phone (360) 452-5014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO 60124036 | Other | WA | CHEMICAL DEPENDENCY PROFESSIONAL TRAINEE |
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 |
|---|---|---|---|
| CO 60124036 | 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": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1194092395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 W. 4TH STREET",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98363",
"telephone_number": "360-452-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BAY VIEW AVE.",
"city": "NEAH BAY",
"state": "WA",
"postal_code": "98357",
"telephone_number": "360-645-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "TODD",
"middle_name": "M.",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO 60124036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY PROFESSIONAL TRAINEE",
"identifier": "CO 60124036",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neah Bay, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.