Individual provider Active NPI

Linda Kay Walrath, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Sumner, WA
National Provider Identifier
1528318755
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP 00003491 Issued in WA
Practice address
918 Alder Ave
Sumner, WA 98390-1406
Phone
(253) 891-2662
Fax
(253) 891-1044
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 CP 00003491 WA Primary

Addresses

Primary practice location

918 Alder Ave
Sumner, WA 98390-1406

Mailing address

918 Alder Ave
Sumner, WA 98390-1406
Phone (253) 891-2662

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
CP 00003491WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1528318755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ALDER AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901406",
            "telephone_number": "253-891-2662",
            "fax_number": "253-891-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ALDER AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901406",
            "telephone_number": "253-891-2662",
            "fax_number": "253-891-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALRATH",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00003491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.