Active NPI
Donnette K Vantries
- Addiction (Substance Use Disorder) Counselor
- Vancouver, WA
National Provider Identifier
1699132316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00000769
- Practice address
- 7507 NE 51St St
Vancouver, WA 98662-6007 - Phone
- (360) 906-1190
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00000769 | WA | Primary |
Addresses
Primary practice location
7507 NE 51St St
Vancouver, WA 98662-6007
Mailing address
7507 NE 51St St
Vancouver, WA 98662-6007
Phone (360) 906-1190
Other names 1
- Ms. Donnette K Vantries
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP00000769 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699132316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7507 NE 51ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626007",
"telephone_number": "360-906-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7507 NE 51ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626007",
"telephone_number": "360-906-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTRIES",
"first_name": "DONNETTE",
"middle_name": "K",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00000769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONNETTE",
"last_name": "VANTRIES",
"middle_name": "K",
"prefix": "MS.",
"credential": "CDP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.