Peter Kirkland Sr., CP00005495

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP0005495 Issued in WA

Practice address

17002 Pacific Ave S
Spanaway, WA 98387-8253

Phone

(253) 538-2323

NPI assigned

Sep 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kassuhn Inc

  dba Alternative Counseling

  • Substance Abuse Rehabilitation Facility
  • Spanaway, WA
  • NPI 1609156298
  NPD (past)
• Kassuhn Inc Dba Alternative Counseling

  • Early Intervention Provider Agency
  • Spanaway, WA
  • NPI 1023562170
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1497230361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 124TH AVENUE CT E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983729278",
            "telephone_number": "252-222-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17002 PACIFIC AVE S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878253",
            "telephone_number": "253-538-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "PETER",
        "name_suffix": "Sr.",
        "credential": "CP00005495",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP0005495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolan Wesley Kellow, DPT
• Frankie Mae Kennedy, LMHC, LCAS, LPC, CDP
• Michelle Kieszling
• Caroline Gesare Kingoina
• Michelle H. Kinne, ICCE CD(DONA) CLE
• Nicole J Klein, PHD, RN
• Andrew Klimek, SLP
• Danielle Kline
• Simone Alexandria Koger, LMFT
• Jake Kopitzke, SSP

• Addiction (Substance Use Disorder) Counselor in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• 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.