Individual provider Active NPI

Marie Joy Phillipson, SUDP,SUDA,NCAC1

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1669906624
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SUDPCP61001229 Issued in WA
Practice address
701 E 3Rd Ave
Spokane, WA 99202-6014
Phone
(509) 838-6092
Fax
(509) 838-6011
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDPCP61001229 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6064916 WA

Addresses

Primary practice location

701 E 3Rd Ave
Spokane, WA 99202-6014

Mailing address

18721 E. Boone TRLR 12
Spokane Valley, WA 99016
Phone (509) 608-0279

Other identifiers 1

IdentifierTypeStateIssuer
15034221OtherCAQHID

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

LicenseStateTypeSpecialty
6064916WAMDAddiction (Substance Use Disorder) Counselor
SUDPCP61001229WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Care Centers, Inc. PastSince Sep 10, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mphillipson@nhcc-op.direct.kno2fy.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1669906624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18721 E. BOONE TRLR 12",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99016",
            "telephone_number": "509-608-0279",
            "fax_number": "509-722-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092",
            "fax_number": "509-838-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPSON",
        "first_name": "MARIE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "SUDP,SUDA,NCAC1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "SUDPCP61001229",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "6064916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQHID",
            "identifier": "15034221",
            "state": null
        }
    ],
    "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 Oct 30, 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.