Isaiah F Oto, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61029070 Issued in WA

Practice address

27203 216TH Ave SE Ste 5
Maple Valley, WA 98038-3273

Phone

(425) 584-7570

NPI assigned

May 28, 2020

Last updated

May 28, 2020By 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

Other identifiers 1

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.

• Brandy Oto Counseling

  dba Thrive Wellness Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maple Valley, WA
  • NPI 1043982259
  NPD
• Brandy Oto Counseling, PLLC

  dba Thrive Wellness Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maple Valley, WA
  • NPI 1720612112

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1316560048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-584-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE 5",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383273",
            "telephone_number": "425-584-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTO",
        "first_name": "ISAIAH",
        "middle_name": "F",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61029070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Michelle Ordon, DNP, FNP-BC
• Bev M. Orwig
• Osteopathic Medical Services Inc P.S. (Country Doctor Clinic)
• Osteopathic Medical Services Inc PS
• Brandy L Oto, LMHC, CDP
• Billie Jean Otter, O.T.
• Outpatient Physical Therapy & Sports Rehabilitation Inc PC
• Outpatient Physical Therapy & Sports Rehabilitation Inc PC
• Yefri Ramiro Pacheco
• Min Paek, DMD

• Addiction (Substance Use Disorder) Counselor in Maple Valley, WA
• Providers in Maple Valley, 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 May 28, 2020; 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.