Organization Active NPI

Advocates for Wellness

  • Addiction (Substance Use Disorder) Counselor
  • Kennewick, WA
National Provider Identifier
1407070188
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
03-0444-00 Issued in WA
Legal business name
ADVOCATES FOR WELLNESS
Practice address
120 Vista Way
Kennewick, WA 99336-3119
Phone
(509) 783-8833
Fax
(509) 783-0256
NPI assigned
Apr 12, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Paul Dean Jorgenson, CDP,CCDCII,CADC,
Title
Administrative Director
Phone
(509) 783-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 03-0444-00 WA Primary

Addresses

Primary practice location

120 Vista Way
Kennewick, WA 99336-3119

Mailing address

120 Vista Way
Kennewick, WA 99336-3119
Phone (509) 783-8833

National Provider Directory

National Provider Directory

Locations

120 Vista Way
Kennewick, WA 99336
Phone (509) 783-8129

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1407070188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VISTA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363119",
            "telephone_number": "509-783-8833",
            "fax_number": "509-783-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VISTA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363119",
            "telephone_number": "509-783-8833",
            "fax_number": "509-783-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATES FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "509-783-8833",
        "authorized_official_credential": "CDP,CCDCII,CADC,"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "03-0444-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.