Active NPI
Connie Hylton, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Chehalis, WA
National Provider Identifier
1306499488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60923727
- Practice address
- 500 SE Washington Ave
Chehalis, WA 98532-3058 - Phone
- (360) 748-4776
- Fax
- (360) 219-9762
- NPI assigned
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | CO60923727 | WA | Primary |
Addresses
Primary practice location
500 SE Washington Ave
Chehalis, WA 98532-3058
Mailing address
500 SE Washington Ave
Chehalis, WA 98532-3058
Phone (360) 748-4776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO60923727 | Other | WA | CHEMICAL DEPENDENCY COUNSELOR INTERN |
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 |
|---|---|---|---|
| CO60923727 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1306499488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SE WASHINGTON AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985323058",
"telephone_number": "360-748-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SE WASHINGTON AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985323058",
"telephone_number": "360-748-4776",
"fax_number": "360-219-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLTON",
"first_name": "CONNIE",
"credential": "SUDPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60923727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY COUNSELOR INTERN",
"identifier": "CO60923727",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.