Jeanne Marie Pourroy-Carter

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00003651 Issued in WA

Practice address

10614 Beardslee Blvd Ste D
Bothell, WA 98011-3279

Phone

(425) 483-4664

Fax

(206) 487-2721

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Alpha Center for Treatment

  • Adult Mental Health Clinic/Center
  • Bothell, WA
  • NPI 1235284019
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1639844376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 BEARDSLEE BLVD STE D",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113279",
            "telephone_number": "425-483-4664",
            "fax_number": "206-487-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10614 BEARDSLEE BLVD STE D",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113279",
            "telephone_number": "425-483-4664",
            "fax_number": "206-487-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURROY-CARTER",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "261QR0405X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Ann Pomada, SUDPT
• Justin Scott Poole, PHARMD
• Christie Posey, L.M.P.
• Alison Lyndsey Potter, MSW, LICSW
• Anna Maria Pouchet, N.D.
• Catherine Elaine Powell, M.D.
• Connor Powell
• Aswathy Prashanth
• Jacob William Pratt, LMT
• Jami Jo Pratt

• Addiction (Substance Use Disorder) Counselor in Bothell, WA
• Providers in Bothell, 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 Aug 13, 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.