Individual provider Active NPI

Stephen Jeffrey Wilkes

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, WA
National Provider Identifier
1518721927
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61303598 Issued in WA
Practice address
16404 Smokey Point Blvd Ste 109
Arlington, WA 98223-8417
Phone
(360) 658-1388
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 CO61303598 WA Primary

Addresses

Primary practice location

16404 Smokey Point Blvd Ste 109
Arlington, WA 98223-8417

Mailing address

16404 Smokey Point Blvd Ste 109
Arlington, WA 98223-8417
Phone (360) 658-1388

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
CO61303598WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CPF Alpine Recovery, LLC CurrentSince Feb 11, 2024 Accepting new patients
Alpine Recovery Services Inc. Addiction (Substance Use Disorder) PastSince Feb 11, 2024 Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 109
Arlington, WA 98223
Phone (360) 502-2778

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1518721927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 SMOKEY POINT BLVD STE 109",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238417",
            "telephone_number": "360-658-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 SMOKEY POINT BLVD STE 109",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238417",
            "telephone_number": "360-658-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "STEPHEN",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61303598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.