Andrew John Lincicome, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60215833 Issued in WA

Practice address

841 Central Ave N
Suite C-215
Kent, WA 98032-2016

Phone

(253) 867-5344

Fax

(253) 867-5348

NPI assigned

Nov 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1639446727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE",
            "address_2": "SUITE 150W",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042993",
            "telephone_number": "425-646-7279",
            "fax_number": "425-646-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 CENTRAL AVE N",
            "address_2": "SUITE C-215",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322016",
            "telephone_number": "253-867-5344",
            "fax_number": "253-867-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCICOME",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60215833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lincare Inc.
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• Hayley Brooke Linkous
• D. Rochelle Linscott, P.A.
• Stephanie Linscott, LMT

• Addiction (Substance Use Disorder) Counselor in Kent, WA
• Providers in Kent, 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 17, 2011; 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.