NW Reentry Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NW REENTRY SERVICES, LLC

Practice address

PO Box 73217
Puyallup, WA 98373-0217

Phone

(253) 271-8881

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Alexa Balderston

Title

Owner

Phone

(532) 718-8812

Specialties & licenses 1

Addresses

Other names 2

• NW Recovery Services Doing business as
• NW Reentry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Shane Dunlap, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Sherman, TX
  • NPI 1336515964
  NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1659181790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 113TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748854",
            "telephone_number": "253-359-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 73217",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983730217",
            "telephone_number": "253-271-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW REENTRY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BALDERSTON",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "532-718-8812"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NW Reentry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NW Reentry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nurani, Mitchell, Kim, PC
• Nutrition Authority
• Nutrition Authority PLLC
• Nutritionally Sound, LLC
• Paul B Nutter, M.D.
• NW Zen
• Regina Ifeanyi Nwani, RN
• Shari Nygren, RN
• Alicia Lynn O'Brien, LMP
• Carolyn O'Brien, PA-C

• Addiction (Substance Use Disorder) Counselor in Puyallup, WA
• Providers in Puyallup, 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 Feb 18, 2025; 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.