Individual provider Active NPI

Vickie Lynn Bryant, CDPT

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1467904623
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60653450 Issued in WA
Practice address
1321 N Ash St
Spokane, WA 99201-2803
Phone
(509) 327-3120
NPI assigned
Nov 3, 2016
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 60653450 WA Primary

Addresses

Primary practice location

1321 N Ash St
Spokane, WA 99201-2803

Mailing address

1211 E 12TH Ave
Spokane, WA 99202-2515
Phone (509) 270-7732

Other practice location 1

104 W Crawford
Deer Park, WA 99208
Phone (509) 276-2797

Other practice location 2

218 N Oak St
Colville, WA 99114-2968
Phone (509) 684-2349

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

LicenseStateTypeSpecialty
60653450WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adept Assessment Center Inc Addiction (Substance Use Disorder) 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1467904623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E 12TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022515",
            "telephone_number": "509-270-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N ASH ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012803",
            "telephone_number": "509-327-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W Crawford",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "WA",
            "postal_code": "99208",
            "country_code": "US",
            "telephone_number": "509-276-2797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142968",
            "country_code": "US",
            "telephone_number": "509-684-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60653450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.