Active NPI
Highland Courte Alzheimer
- Addiction (Substance Use Disorder) Counselor
- Port Angeles, WA
National Provider Identifier
1376644146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- HIGHLAND COURTE ALZHEIMER
- Practice address
- 1704 Melody Circle
Port Angeles, WA 98362 - Phone
- (360) 417-5356
- Fax
- (360) 417-2773
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzanne Evich-Gibson, CDP
- Title
- Exective Director
- Phone
- (360) 417-5356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WA | Primary |
Addresses
Primary practice location
1704 Melody Circle
Port Angeles, WA 98362
Mailing address
1704 Melody Circle
Port Angeles, WA 98362
Phone (360) 417-5356
Other names 1
- Highland Courte
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376644146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MELODY CIRCLE",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98362",
"telephone_number": "360-417-5356",
"fax_number": "360-417-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 MELODY CIRCLE",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98362",
"telephone_number": "360-417-5356",
"fax_number": "360-417-2773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND COURTE ALZHEIMER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EVICH-GIBSON",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "EXECTIVE DIRECTOR",
"authorized_official_telephone_number": "360-417-5356",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CDP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Courte",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Angeles, WA
Sources for this page
- 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.