Active NPI
Amy Elizabeth York, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Yakima, WA
National Provider Identifier
1396311999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61165483
- Practice address
- 3300 Roosevelt Ave
Yakima, WA 98902-6344 - Phone
- (509) 571-1455
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 | CO61165483 | WA | Primary |
Addresses
Primary practice location
3300 Roosevelt Ave
Yakima, WA 98902-6344
Mailing address
711 W Walnut St Apt 218
Yakima, WA 98902-3341
Phone (509) 945-6215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-0755984 | Medicaid | WA |
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 |
|---|---|---|---|
| CO61165483 | 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": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1396311999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W WALNUT ST APT 218",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023341",
"telephone_number": "509-945-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ROOSEVELT AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026344",
"telephone_number": "509-571-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "SUDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61165483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91-0755984",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.