Individual provider Active NPI

Douglas Revelle Carney

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1669386454
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
70142850 Issued in WA
Practice address
4305 E Trent Ave
Spokane, WA 99212-1315
Phone
(509) 424-5277
Fax
(509) 795-3141
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 70142850 WA Primary

Addresses

Primary practice location

4305 E Trent Ave
Spokane, WA 99212-1315

Mailing address

1655 E Queen Ave
Spokane, WA 99207-4145
Phone (509) 309-5317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1669386454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E QUEEN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992074145",
            "telephone_number": "509-309-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121315",
            "telephone_number": "509-424-5277",
            "fax_number": "509-795-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "DOUGLAS",
        "middle_name": "REVELLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "70142850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.