Mark Loes, SUPD, MBA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP 00004276 Issued in WA

Practice address

2280 State Route 821
Yakima, WA 98901-8302

Phone

(509) 969-0092

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Sundown M Ranch

  • Substance Abuse Rehabilitation Facility
  • Yakima, WA
  • NPI 1154474104
  NPD Authorized official
• Sundown M Ranch

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1285223305
  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1679009732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 COOLIDGE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989036901",
            "telephone_number": "509-969-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 STATE ROUTE 821",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989018302",
            "telephone_number": "509-969-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOES",
        "first_name": "MARK",
        "credential": "SUPD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00004276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W. Livingston, MD00039930
• Raquelline Llaguno
• Edwin Llamas
• Jessica Llamas
• Leanna Lockett
• Scott Loescher, M.A.
• Kara Hungate Lolley, N.D.
• Blake David Lollis, M.D., MPH
• Lolly Angel House Afh LLC
• Arleen Lommers

• Addiction (Substance Use Disorder) Counselor in Yakima, WA
• Providers in Yakima, 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 Jan 14, 2021; 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.