Active NPI
Grace Jones, AAS
- Addiction (Substance Use Disorder) Counselor
- Suquamish, WA
National Provider Identifier
1376776864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60131553
- Practice address
- 18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533 - Phone
- (360) 394-8550
- Fax
- (360) 598-1724
- NPI assigned
- Aug 31, 2009
- 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 | CP60131553 | WA | Primary |
Addresses
Primary practice location
18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533
Mailing address
PO Box 1228
Suquamish, WA 98392-1228
Phone (360) 394-8550
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
- Credentials
- Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60131553 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suquamish Tribal | Past | Accepting new patients | |
| Suquamish Tribal | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Suquamish, WA
- NPI 1083747216
Addiction (Substance Use Disorder)
-
- General Practice Physician
- Suquamish, WA
- NPI 1114674942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1376776864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1228",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983921228",
"telephone_number": "360-394-8550",
"fax_number": "360-598-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18490 SUQUAMISH WAY NE UNIT 107",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983929533",
"telephone_number": "360-394-8550",
"fax_number": "360-598-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GRACE",
"credential": "AAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60131553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suquamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.