United Northwest Recovery Center Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

UNITED NORTHWEST RECOVERY CENTER INC.

Doing business as

United Northwest Recovery Center
United NW Recovery Center

Practice address

904 S. 3Rd Street
Mt. Vernon, WA 98273

Phone

(360) 856-6300

Fax

(564) 209-7048

NPI assigned

Jul 17, 2008

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Elaine Washbish, SUDPNPI 1376986174

Title

Director

Phone

(360) 856-6300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• UNITED NORTHWEST RECOVERY CENTER Doing business as
• United NW Recovery Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackie Elaine Washbish, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, WA
  • NPI 1376986174
  NPD Authorized official
• Anne Marcy Sinnett, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
  • NPI 1538829031
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1336303387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S. 3RD STREET",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-856-6300",
            "fax_number": "564-209-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S. 3RD STREET",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-856-6300",
            "fax_number": "564-209-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED NORTHWEST RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "WASHBISH",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-856-6300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SUDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336303357",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED NORTHWEST RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United NW Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United NW Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna N Tveite, AUD
• Mary Jane Tyler, RN, ARNP
• Janna Alina Brock Uffelman, RN
• Rehman Ukani, M.D
• Nathan Allen Ullom, DPM
• Kenley R Unruh, MD
• Urban Fitness and Health Club LLC (Urban Fitness and Health)
• VA Puget Sound Health Care System
• Sanjeev Vaderah, MD
• Laura Valencia Sanchez

• Addiction (Substance Use Disorder) Counselor in Mount Vernon, WA
• Providers in Mount Vernon, 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 Jun 7, 2024; 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.