Theodore Cooper Sutton, FSWC I/COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RHS CERTIFICATION Issued in AK

Practice address

Main Street Bristol Bay Area Health Corporation
Togiak Behavioral Health Program, Family Resource BLD.
Togiak, AK 99678-0409

Phone

(907) 493-5637

Fax

(907) 493-5184

NPI assigned

Nov 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1215119201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISTOL BAY AREA HEALTH CORPORATION",
            "address_2": "TOGIAK BEHAVIORAL HEALTH PROGRAM, P.O. BOX 409",
            "city": "TOGIAK",
            "state": "AK",
            "postal_code": "996780409",
            "telephone_number": "907-493-5637",
            "fax_number": "907-493-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET BRISTOL BAY AREA HEALTH CORPORATION",
            "address_2": "TOGIAK BEHAVIORAL HEALTH PROGRAM, FAMILY RESOURCE BLD.",
            "city": "TOGIAK",
            "state": "AK",
            "postal_code": "996780409",
            "telephone_number": "907-493-5637",
            "fax_number": "907-493-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "THEODORE",
        "middle_name": "COOPER",
        "credential": "FSWC I/COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "RHS CERTIFICATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Fox
• Laverna Ann Katchatag, CHA-IV-C
• Lindsey Mary Markoff, BHA/I
• Kaitlyn Pauk
• Stephanie Poulsen
• Bernice Toyukak

• Addiction (Substance Use Disorder) Counselor in Togiak, AK
• Providers in Togiak, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.