Individual provider Active NPI

Albert T Wilkins, M. ED

  • Addiction (Substance Use Disorder) Counselor
  • Kennewick, WA
National Provider Identifier
1427119239
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00000004 Issued in WA
Practice address
5219 W Clearwater Ave
Ste 10B
Kennewick, WA 99336-1914
Phone
(509) 547-2413
Fax
(509) 542-8095
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00000004 WA Primary

Addresses

Primary practice location

5219 W Clearwater Ave
Ste 10B
Kennewick, WA 99336-1914

Mailing address

5219 W Clearwater Ave
Ste 10B
Kennewick, WA 99336-1914
Phone (509) 547-2413

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
Master of Education

State licenses

LicenseStateTypeSpecialty
CP00000004WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427119239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE",
            "address_2": "STE 10B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361914",
            "telephone_number": "509-547-2413",
            "fax_number": "509-542-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 W CLEARWATER AVE",
            "address_2": "STE 10B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361914",
            "telephone_number": "509-547-2413",
            "fax_number": "509-542-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ALBERT",
        "middle_name": "T",
        "credential": "M. ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00000004",
            "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 Jul 8, 2007; 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.