Active NPI
Science and Management of Addictions
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1417236639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17151000
- Legal business name
- SCIENCE AND MANAGEMENT OF ADDICTIONS
- Practice address
- 18 W Mercer St
Suite 370
Seattle, WA 98119-3965 - Phone
- (206) 328-1719
- Fax
- (206) 547-1727
- NPI assigned
- Aug 4, 2011
- 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
- Gina Grappone
- Title
- Executive Director
- Phone
- (206) 328-1719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17151000 | WA | Primary |
Addresses
Primary practice location
18 W Mercer St
Suite 370
Seattle, WA 98119-3965
Mailing address
18 W Mercer St
Suite 370
Seattle, WA 98119-3965
Phone (206) 328-1719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17151000 | Other | WA | CHEMICAL DEPENDENCY AGENCY |
Other names 1
- SAMA Foundation
National Provider Directory
National Provider Directory- Tax ID family
- Sama
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1588902019
Locations
18 W Mercer St
Ste 370
Seattle, WA 98119
Phone (206) 328-1719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312416000000",
"number": "1417236639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 W MERCER ST",
"address_2": "SUITE 370",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193965",
"telephone_number": "206-328-1719",
"fax_number": "206-547-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W MERCER ST",
"address_2": "SUITE 370",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193965",
"telephone_number": "206-328-1719",
"fax_number": "206-547-1727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCIENCE AND MANAGEMENT OF ADDICTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A",
"authorized_official_last_name": "GRAPPONE",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "206-328-1719"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "17151000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY AGENCY",
"identifier": "17151000",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAMA Foundation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.