Enrique Ismael Espinoza

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61364087 Issued in WA

Practice address

315 N 2ND St
Yakima, WA 98901-2334

Phone

(509) 469-9366

NPI assigned

Nov 4, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• The Valley Alcohol Council

  dba MERIT Resource Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Yakima, WA
  • NPI 1548306210

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1548977846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070376",
            "telephone_number": "509-469-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 2ND ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012334",
            "telephone_number": "509-469-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "ENRIQUE",
        "middle_name": "ISMAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61364087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSONAL LICENSE",
            "identifier": "CO61364087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Edward Esparza Sr., CDP
• Marisol Esparza
• Olga Esparza, CP60820633
• Lucia Espinosa
• Alec Espinoza
• Felix Espinoza, MSED
• Maria Guadalupe Espinoza, CMA
• Hannah Espitia
• Isabel Esquivel, PHARMD
• Lexie Esquivel

• Addiction (Substance Use Disorder) Counselor in Yakima, WA
• Providers in Yakima, 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 Nov 4, 2022; 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.