Active NPI
Antioch Counseling and Treatment Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Redmond, WA
National Provider Identifier
1639563232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 17-1564-00
- Legal business name
- ANTIOCH COUNSELING AND TREATMENT SERVICES
- Practice address
- 12316 134TH CT NE
Redmond, WA 98052-2433 - Phone
- (425) 284-2652
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Edward Rigg
- Title
- Executive Director
- Phone
- (425) 985-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 17-1564-00 | WA | Primary |
Addresses
Primary practice location
12316 134TH CT NE
Redmond, WA 98052-2433
Mailing address
12316 134TH CT NE
Redmond, WA 98052-2433
Phone (425) 284-2652
National Provider Directory
National Provider DirectoryLocations
12256 134th Ct NE
Ste 160
Redmond, WA 98052
Phone (425) 284-2652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1639563232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12316 134TH CT NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522433",
"telephone_number": "425-284-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12316 134TH CT NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522433",
"telephone_number": "425-284-2652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTIOCH COUNSELING AND TREATMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "RIGG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "425-985-8770",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "WA",
"license": "17-1564-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.