Brenda M Thorson, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61007256 Issued in WA

Practice address

2400 N Craig Rd
Spokane, WA 99224-9568

Phone

(509) 244-5610

NPI assigned

Aug 30, 2018

Last updated

Oct 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eugenia Center

  • Substance Abuse Rehabilitation Facility
  • Chehalis, WA
  • NPI 1376696096
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1588146005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N CRAIG RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249568",
            "telephone_number": "509-244-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N CRAIG RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249568",
            "telephone_number": "509-244-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61007256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDP LICENSE",
            "identifier": "CP61007256",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul C Thorne, MD
• Anna Monica Thornock, LPCA
• Donald Alan Thornton, MD
• Judy Thornton, MSW
• Susan Marie Thornton, P.T.
• Kyanne Marie Thrash
• Hayden Sloane Thrasher, MS, RD, CD
• Thrifty Payless Inc (Rite Aid Pharmacy 05308)
• Thrifty Payless Inc (Rite Aid Pharmacy 05304)
• Thrifty Payless Inc (Rite Aid Pharmacy 05302)

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, 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 Oct 30, 2021; 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.