Active NPI
Laurie Wright
- Addiction (Substance Use Disorder) Counselor
- Vancouver, WA
National Provider Identifier
1225678998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP61356979
- Practice address
- 1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713 - Phone
- (824) 636-0397
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | CP61356979 | WA | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | CP61356979 | WA | |
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | CP61356979 | WA | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | CP61356979 | WA | |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | CP61356979 | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | CP61356979 | WA | |
| Health & Wellness Coach | 171400000X | CP61356979 | ||
| Case Management Agency | 251B00000X | CP61356979 | WA | |
| Community/Behavioral Health Agency | 251S00000X | CP61356979 | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP61356979 | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Mailing address
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Phone (824) 636-0397
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 |
|---|---|---|---|
| CP61356979 | WA | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1225678998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "824-636-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "824-636-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LAURIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2023-11-02",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": "CP61356979",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": "CP61356979",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "WA",
"license": "CP61356979",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": "CP61356979",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "CP61356979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.