Active NPI
Emily Ann Vallies, SUDP
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
National Provider Identifier
1376011874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60725462
- Practice address
- 106 W Mission Ave
Spokane, WA 99201-2337 - Phone
- (509) 473-4823
- NPI assigned
- Nov 2, 2018
- 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 | CO60725462 | WA | Primary |
Addresses
Primary practice location
106 W Mission Ave
Spokane, WA 99201-2337
Mailing address
106 W Mission Ave
Spokane, WA 99201-2337
Phone (509) 473-4823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP61020197 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
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 |
|---|---|---|---|
| CO60725462 | 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": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1376011874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 W MISSION AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012337",
"telephone_number": "509-473-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W MISSION AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012337",
"telephone_number": "509-473-4823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLIES",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "SUDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60725462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "CP61020197",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.