Juan Soto, AAC, CPC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61438156 Issued in WA

Practice address

506 W Franklin St
Shelton, WA 98584-3517

Phone

(360) 427-5232

Fax

(360) 427-5006

NPI assigned

May 4, 2023

Last updated

May 5, 2023By the provider in NPPES

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.

• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1083825764
  NPD
• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chehalis, WA
  • NPI 1356551717
  NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1255020244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320059",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843517",
            "telephone_number": "360-427-5232",
            "fax_number": "360-427-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1956 NE Kresky Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985322307",
            "country_code": "US",
            "telephone_number": "360-740-4380",
            "fax_number": "360-740-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JUAN",
        "credential": "AAC, CPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61438156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwyneth Leeanne Soboleff
• Social Treatment Opportunity Programs II, Inc (STOP Shelton)
• David Patrick Soha
• Tara S Sol, MSW
• Brianna Almeada Solman
• Southside School District
• Tyler Speaks
• Rosemary Spyhalsky, ARNP
• Squaxin Island Chemical Dependency Encounter
• Squaxin Island Dental Clinic Encounter

• Peer Specialist in Shelton, WA
• Providers in Shelton, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.