Chris C. Tippett, CDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Winatchee, WA
NPI 1407209786 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1407209786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CP00000746 (WA)
- Practice address
- 327 Okanogan Ave
Winatchee, WA 98801 - Phone
- (509) 662-9673
- Fax
- (509) 662-9441
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00000746 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Alcohol and Drug Treatment | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00000746 | WA | Yes |
Addresses
Primary practice location
327 Okanogan Ave
Winatchee, WA 98801
Mailing address
PO Box 950
Winatchee, WA 98807
Phone (509) 662-9673
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.