Active NPI
Viviandria Haddix
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1659119873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 10344 14TH Ave S
Seattle, WA 98168-1689 - Phone
- (206) 767-0244
- NPI assigned
- Jul 20, 2024
- Last updated
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-22-1923 | WV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Phlebotomy Technician | 246RP1900X | NU | ||
| Poetry Therapist | 102X00000X | NU | ||
| Mental Health Occupational Therapist | 225XM0800X | NU |
Addresses
Primary practice location
10344 14TH Ave S
Seattle, WA 98168-1689
Mailing address
10344 14TH Ave S
Seattle, WA 98168-1689
Phone (206) 767-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-22-1923 | WV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Drug and Narcotic Center Inc | Current | Accepting new patients |
Locations
10344 14th Ave S
Seattle, WA 98168
Phone (206) 245-1086
Organizations & group practices 1
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.
-
dba Key Recovery & Life Skills Center
- Substance Abuse Rehabilitation Facility
- Seattle, WA
- NPI 1760715536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1659119873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10344 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981681689",
"telephone_number": "206-767-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10344 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981681689",
"telephone_number": "206-767-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDIX",
"first_name": "VIVIANDRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WV",
"license": "T-22-1923",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.