NPIMap

Organization Active NPI

New Life Addiction and Recovery Services PLLC

  • Mental Health Counselor
  • Marysville, WA
National Provider Identifier
1326411869
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60502604 Issued in WA
Legal business name
NEW LIFE ADDICTION AND RECOVERY SERVICES PLLC
Practice address
5019 Grove St # 103a
Marysville, WA 98270-4487
Phone
(206) 407-3333
Fax
(360) 768-2817
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Diane Buford, MA, LMHCA, CDPT
Title
Counselor
Phone
(206) 407-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CP00001646 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MC60502604 WA Primary

Addresses

Primary practice location

5019 Grove St # 103a
Marysville, WA 98270-4487

Mailing address

5019 Grove St # 103a
Marysville, WA 98270-4487
Phone (206) 407-3333

National Provider Directory

National Provider Directory
Tax ID family
New Life Addiction and Recovery Services PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1326411869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST # 103A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704487",
            "telephone_number": "206-407-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST # 103A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704487",
            "telephone_number": "206-407-3333",
            "fax_number": "360-768-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE ADDICTION AND RECOVERY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "206-407-3333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHCA, CDPT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001646",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60502604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.