Individual provider Active NPI

Alexis C.L. Ziady, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Centralia, WA
National Provider Identifier
1548743610
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
61096029 Issued in WA
Practice address
727 N Tower Ave
Centralia, WA 98531
Phone
(360) 827-0264
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60724555 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 61096029 WA Primary

Addresses

Primary practice location

727 N Tower Ave
Centralia, WA 98531

Mailing address

727 N Tower Ave
Centralia, WA 98531-4754
Phone (360) 827-0264

Other practice location 1

121 NW Chehalis Ave
Chehalis, WA 98532-2010
Phone (360) 740-9767

Other names 1

  • Miss Alexis C.L. Thurber Former name

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
60724555WAMDAddiction (Substance Use Disorder) Counselor
61096029WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gather Church CurrentSince Nov 3, 2024 Accepting new patients
Eugenia Center Past Accepting new patients

Locations

727 N Tower Ave
Centralia, WA 98531
Phone (360) 557-2027

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, 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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548743610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N TOWER AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314754",
            "telephone_number": "360-827-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N TOWER AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-827-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 NW Chehalis Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985322010",
            "country_code": "US",
            "telephone_number": "360-740-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIADY",
        "first_name": "ALEXIS",
        "middle_name": "C.L.",
        "name_prefix": "Mrs.",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60724555",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61096029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "THURBER",
            "middle_name": "C.L.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.