Roberta J Growney, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60048342 Issued in WA

Practice address

20 Gunnyon Rd
Toppenish, WA 98948-9894

Phone

(509) 865-5121

Fax

(509) 865-4333

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1235851999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GUNNYON RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480386",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GUNNYON RD",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989489894",
            "telephone_number": "509-865-5121",
            "fax_number": "509-865-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROWNEY",
        "first_name": "ROBERTA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60048342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Graham
• Araceli Granados
• Paul-Ann Green, M.D.
• Randy Dee Green, CP00006118
• Kaylene Lorraine Gregory
• Amanda Guel Cuevas, MT
• Sarah Guel
• Margarita Gutierrez
• Martha Herlinda Guzman, ASSOCIATED COUNSELOR
• Ofelia Martha Guzman

• Addiction (Substance Use Disorder) Counselor in Toppenish, WA
• Providers in Toppenish, 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 Sep 19, 2022; 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.