Individual provider Active NPI

Eric Leslie Deno, CP 60593992

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1669957445
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60593992 Issued in WA
Practice address
312 W 8TH Ave
Spokane, WA 99204-2506
Phone
(509) 477-4642
Fax
(509) 477-4646
NPI assigned
Sep 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 CP60593992 WA Primary

Addresses

Primary practice location

312 W 8TH Ave
Spokane, WA 99204-2506

Mailing address

312 W 8TH Ave
Spokane, WA 99204-2506
Phone (509) 477-4642

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
CP60593992WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Detox Services of Spokane CurrentSince Nov 28, 2021 Accepting new patients
Spokane Treatment and Recovery Services Addiction (Substance Use Disorder) CurrentSince Jun 1, 2023 Accepting new patients

Locations

312 W 8th Ave
Spokane, WA 99204
Phone (509) 324-1420

628 S Cowley St
Spokane, WA 99202
Phone (509) 624-3227

105 W 3rd Ave
Spokane, WA 99201
Phone (509) 389-6820

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

Organizations & group practices 2

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1669957445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042506",
            "telephone_number": "509-477-4642",
            "fax_number": "509-477-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042506",
            "telephone_number": "509-477-4642",
            "fax_number": "509-477-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENO",
        "first_name": "ERIC",
        "middle_name": "LESLIE",
        "credential": "CP 60593992",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60593992",
            "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 27, 2018; 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.