Active NPI
Stephanie Lynn Linke, BA, CDP.
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
National Provider Identifier
1427540640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP600814391
- Practice address
- 758 St Helens Ave
Tacoma, WA 98402-3706 - Phone
- (253) 274-0484
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 | CP600814391 | WA | Primary |
Addresses
Primary practice location
758 St Helens Ave
Tacoma, WA 98402-3706
Mailing address
Slinke2@Yahoo.Com
1408 S Washington St.
Tacoma, WA 98405
Phone (253) 241-5994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003939034 | Medicaid | WA |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP600814391 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Counseling Tacoma | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- Tacoma, WA
- NPI 1073971933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1427540640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SLINKE2@YAHOO.COM",
"address_2": "1408 S WASHINGTON ST.",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-241-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 ST HELENS AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023706",
"telephone_number": "253-274-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINKE",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "BA, CDP.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP600814391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003939034",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.