Active NPI
Women'S Recovery Center
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1205074440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17044000
- Legal business name
- WOMEN'S RECOVERY CENTER
- Practice address
- 4649 Sunnyside Ave N
Suite 200
Seattle, WA 98103-6900 - Phone
- (206) 547-2996
- Fax
- (206) 547-5187
- NPI assigned
- Jan 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James D Buchanan
- Title
- Administration Director
- Phone
- (206) 547-2996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17044000 | WA | Primary |
Addresses
Primary practice location
4649 Sunnyside Ave N
Suite 200
Seattle, WA 98103-6900
Mailing address
4649 Sunnyside Ave N
Suite 200
Seattle, WA 98103-6900
Phone (206) 547-2996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17 0440 00 | Other | WA | DASA (DEPARTMENT OF ALCOHOL AND SUBSTANCE ABUSE) |
Other names 1
- A Positive Alternative
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1205074440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4649 SUNNYSIDE AVE N",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036900",
"telephone_number": "206-547-2996",
"fax_number": "206-547-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4649 SUNNYSIDE AVE N",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036900",
"telephone_number": "206-547-2996",
"fax_number": "206-547-5187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-26",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "BUCHANAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATION DIRECTOR",
"authorized_official_telephone_number": "206-547-2996",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "17044000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DASA (DEPARTMENT OF ALCOHOL AND SUBSTANCE ABUSE)",
"identifier": "17 0440 00",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Positive Alternative",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.