Active NPI
John Bellephine, CDPT
- Addiction (Substance Use Disorder) Counselor
- Marysville, WA
National Provider Identifier
1427475136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60300104
- Practice address
- 1227 2ND St
Marysville, WA 98270-4906 - Phone
- (360) 651-2366
- Fax
- (360) 653-3119
- NPI assigned
- Mar 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | CO60300104 | WA | Primary |
Addresses
Primary practice location
1227 2ND St
Marysville, WA 98270-4906
Mailing address
1227 2ND St
Marysville, WA 98270-4906
Phone (360) 651-2366
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 |
|---|---|---|---|
| CO60300104 | 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": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1427475136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 2ND ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704906",
"telephone_number": "360-651-2366",
"fax_number": "360-653-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 2ND ST",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704906",
"telephone_number": "360-651-2366",
"fax_number": "360-653-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEPHINE",
"first_name": "JOHN",
"credential": "CDPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60300104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.