Britania Raquel Ison, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BHA.FS.60892207 Issued in WA

Practice address

1415 Lumsden Rd
Port Orchard, WA 98367-9179

Phone

(360) 873-9430

Fax

(360) 876-0731

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1215565247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LUMSDEN RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679179",
            "telephone_number": "360-873-9430",
            "fax_number": "360-876-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LUMSDEN RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679179",
            "telephone_number": "360-873-9430",
            "fax_number": "360-876-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19351 8th Ave NE Ste 141",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983707087",
            "country_code": "US",
            "telephone_number": "360-876-9430 x107",
            "fax_number": "360-876-0731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4060 Wheaton Way Ste F",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983103500",
            "country_code": "US",
            "telephone_number": "360-876-3430 x107",
            "fax_number": "360-876-0731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISON",
        "first_name": "BRITANIA",
        "middle_name": "RAQUEL",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "BHA.FS.60892207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518183763",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRITANIA.ISON@WSTCS.ORG",
            "affiliation": "N",
            "endpointDescription": "EMPLOYEE SECURED EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1415 Lumsden Rd",
            "city": "Port Orchard",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983679179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.