Active NPI
Reinhardt Ryden
- Addiction (Substance Use Disorder) Counselor
- Vancouver, WA
National Provider Identifier
1508491069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5197 NW Lower River Rd BLDG 1
Vancouver, WA 98660-1013 - Phone
- (360) 605-6001
- NPI assigned
- Mar 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1508491069 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
5197 NW Lower River Rd BLDG 1
Vancouver, WA 98660-1013
Mailing address
9916 NE Highway 99
Vancouver, WA 98686-5608
Phone (971) 275-3713
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 |
|---|---|---|---|
| 1508491069 | WA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1508491069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9916 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986865608",
"telephone_number": "971-275-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5197 NW LOWER RIVER RD BLDG 1",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986601013",
"telephone_number": "360-605-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDEN",
"first_name": "REINHARDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-05",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": "1508491069",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.