Johnathan Daniel D'Auteuil, CO60841282

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CO60841282 Issued in WA

Practice address

3400 W Garland Ave
Spokane, WA 99205-2119

Phone

(509) 325-2355

Fax

(509) 362-4922

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Pioneer Human Services

  dba Pioneer Center East

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
  • NPI 1063709756
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1285294165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052119",
            "telephone_number": "509-325-2355",
            "fax_number": "509-362-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052119",
            "telephone_number": "509-325-2355",
            "fax_number": "509-362-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AUTEUIL",
        "first_name": "JOHNATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "CO60841282",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO60841282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Cziglenyi
• Heidi Ann Czirr, MOTR/L
• Joelle Marie Czirr
• D & M Holdings LLC (Franklin Park Urgent Care Center)
• D. Todd Wylie, O.D., Inc. (Advanced Eyecare Center)
• Michael Sean D'Esterre, LICSW
• Sarah E D'Hulst, MD
• Chantalle Sarah D'Spain, LMP
• Matthew Dale Dach, MSW
• Douglas Rade Daehlin, DDS

• Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.