Active NPI
Cornelio Thomas Delarosa Jr.
- Peer Specialist
- Tumwater, WA
National Provider Identifier
1679405815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 9474 Lathrop Industrial Dr SW
Tumwater, WA 98512-1109 - Phone
- (360) 583-3340
- NPI assigned
- Jun 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | WA | Primary |
Addresses
Primary practice location
9474 Lathrop Industrial Dr SW
Tumwater, WA 98512-1109
Mailing address
1887 Whitney Mesa Dr # 5589
Henderson, NV 89014-2069
Phone (360) 583-3340
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope and Healing Clinic LLC | Past | Accepting new patients | |
| Hope and Healing Clinic LLC | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tumwater, WA
- NPI 1376336974
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Tumwater, WA
- NPI 1669258133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1679405815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 WHITNEY MESA DR # 5589",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142069",
"telephone_number": "360-583-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9474 LATHROP INDUSTRIAL DR SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985121109",
"telephone_number": "360-583-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAROSA",
"first_name": "CORNELIO",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
- Edith Patricia De Lira Baez
- Jesse De Roover
- Michaela Debono, LMP
- Grant E Deger, MD
- Michele Lynn Deisering, N.D.
- Toby Curtis Deluca, BA, CDP
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Dental Professionals of Washington Quirt Mongrain Gibree PC
- Iduar Dereix Calonge
- Deschutes Chiropractic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.