NPIMap

Organization Active NPI

Thunderbird Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Seattle, WA
National Provider Identifier
1215002365
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0024817002 BLSEATTLE Issued in WA
Legal business name
THUNDERBIRD TREATMENT CENTER, LLC
Practice address
12736 33Rd Ave NE
Seattle, WA 98125-4504
Phone
(206) 324-9360
Fax
(206) 324-8910
NPI assigned
Nov 22, 2006
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SEATTLE INDIAN HEALTH BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Lafontaine
Title
Revenue Cycle Manager
Phone
(206) 324-9360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0024817002 BLSEATTLE WA Primary

Addresses

Primary practice location

12736 33Rd Ave NE
Seattle, WA 98125-4504

Mailing address

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

Other identifiers 2

IdentifierTypeStateIssuer
005701OtherWATARGET
051276747OtherWAALCOHOL AND SUBSTACE ABUS

Other names 1

  • THUNDERBIRD TREATMENT CENTER Other name

National Provider Directory

National Provider Directory
Part of
Seattle Indian Health Board

Locations

9236 Renton Ave S
Seattle, WA 98118
Phone 2067227152 ext. 3252

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1215002365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 12TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442007",
            "telephone_number": "206-324-9360",
            "fax_number": "206-324-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12736 33RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254504",
            "telephone_number": "206-324-9360",
            "fax_number": "206-324-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE INDIAN HEALTH BOARD",
        "enumeration_date": "2006-11-22",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "LAFONTAINE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "206-324-9360"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": "0024817002 BLSEATTLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TARGET",
            "identifier": "005701",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL AND SUBSTACE ABUS",
            "identifier": "051276747",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THUNDERBIRD TREATMENT CENTER",
            "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 Apr 14, 2026; 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.