Active NPI
Jose Antonio Ochoa, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Grandview, WA
National Provider Identifier
1295317287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61155458
- Practice address
- 106 N Elm St
Grandview, WA 98930-1009 - Phone
- (509) 402-9090
- Fax
- (866) 974-8679
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61155458 | WA | Primary |
Addresses
Primary practice location
106 N Elm St
Grandview, WA 98930-1009
Mailing address
PO Box 748
Grandview, WA 98930-0748
Phone (509) 402-9090
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 |
|---|---|---|---|
| CO61155458 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Early Learning & Family Center LLC | Current | Accepting new patients |
Locations
106 N Elm St
Grandview, WA 98930
Phone (509) 402-9090
Interoperability endpoints
- jose.ochoa.2@30756.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba United Family Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Grandview, WA
- NPI 1801405642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1295317287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989300748",
"telephone_number": "509-402-9090",
"fax_number": "866-974-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N ELM ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301009",
"telephone_number": "509-402-9090",
"fax_number": "866-974-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"credential": "SUDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61155458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.