Organization Active NPI

Trillium Treatment Center Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Port Angeles, WA
National Provider Identifier
1568517563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TRILLIUM TREATMENT CENTER INC.
Practice address
528 W 8TH St
Port Angeles, WA 98362-5810
Phone
(360) 457-9200
Fax
(360) 457-9229
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry R Sutton, MAC, LAC, CDPNPI 1285789123
Title
President
Phone
(360) 457-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

528 W 8TH St
Port Angeles, WA 98362-5810

Mailing address

528 W 8TH St
Port Angeles, WA 98362-5810
Phone (360) 457-9200

National Provider Directory

National Provider Directory

Locations

528 W 8th St
Port Angeles, WA 98362
Phone (360) 457-9200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568517563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625810",
            "telephone_number": "360-457-9200",
            "fax_number": "360-457-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625810",
            "telephone_number": "360-457-9200",
            "fax_number": "360-457-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-457-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAC, LAC, CDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.