Organization Active NPI

Antioch Counseling and Treatment Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Redmond, WA
National Provider Identifier
1639563232
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
17-1564-00 Issued in WA
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

Updated by the provider on Mar 23, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.