Crosby Recovery Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CROSBY RECOVERY CENTER

Practice address

3924 204TH St SW
Lynnwood, WA 98036-9368

Phone

(425) 774-2955

Fax

(425) 774-9589

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Patti Rottinghaus, BS,CDP,NCA1

Title

Owner

Phone

(425) 774-2955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336267483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 204TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369368",
            "telephone_number": "425-774-2955",
            "fax_number": "425-774-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 204TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369368",
            "telephone_number": "425-774-2955",
            "fax_number": "425-774-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSBY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTTINGHAUS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-774-2955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,CDP,NCA1"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Lynnwood, WA
• Providers in Lynnwood, 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 Aug 22, 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.