Keith Harrison Ford

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60026494 Issued in WA

Practice address

8212 S March Point Rd
Anacortes, WA 98221-8684

Phone

(360) 588-2800

Fax

(360) 588-2808

NPI assigned

Mar 7, 2016

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Swinomish Health Services

  dba didgwalic Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Anacortes, WA
  • NPI 1134632599
  NPD
• Swinomish Health Services

  dba Swinomish Wellness Program

  • Substance Abuse Rehabilitation Facility
  • Anacortes, WA
  • NPI 1710182787
  NPD
• Tulalip Tribes of Washington Quil Ceda Creek Counseling

  dba Quil Ceda Creek Counseling Company

  • Methadone Clinic
  • Tulalip, WA
  • NPI 1699356683
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1245691070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 RESERVATION RD",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982578802",
            "telephone_number": "360-466-1024",
            "fax_number": "360-466-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800",
            "fax_number": "360-588-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17337 Reservation Rd",
            "address_purpose": "LOCATION",
            "city": "LA Conner",
            "state": "WA",
            "postal_code": "982578802",
            "country_code": "US",
            "telephone_number": "360-466-1024",
            "fax_number": "360-466-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KEITH",
        "middle_name": "HARRISON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60026494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Fishfader
• Ellen L Fitch
• Kelly Allison Fitzgerald, M.S.
• Alethea Fleming, N.D.
• Nadine Foist, MD
• Dean Alister Forsythe Sr., LMHC
• Vanessa Foster, L.M.P.
• Azile Franciose, A.R.N.P.
• Karen Rayleen Frazier
• Luanne Freer, MD

• Addiction (Substance Use Disorder) Counselor in Anacortes, WA
• Providers in Anacortes, 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 Jun 16, 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.