Individual provider Active NPI

Stephen Peter Kubiszewski, LMHC, MAC, CEAP

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
National Provider Identifier
1679549844
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00003902 Issued in WA
Practice address
1 Broadway
C 307
Tacoma, WA 98402-4117
Phone
(253) 383-2588
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 CP00003902 WA Primary
Professional Counselor 101YP2500X LH00006769 WA

Addresses

Primary practice location

1 Broadway
C 307
Tacoma, WA 98402-4117

Mailing address

One Broadway S.
C-307
Tacoma, WA 98402-4121
Phone (253) 383-2588

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
CP00003902WAMDAddiction (Substance Use Disorder) Counselor
LH00006769WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679549844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY S.",
            "address_2": "C-307",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024121",
            "telephone_number": "253-383-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "C 307",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024117",
            "telephone_number": "253-383-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISZEWSKI",
        "first_name": "STEPHEN",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LMHC, MAC, CEAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00003902",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00006769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.