Tennille Anna Lightfoot, CP00005071

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00005071 Issued in WA

Practice address

3400 W Garland Ave
Spokane, WA 99205-2119

Phone

(509) 325-2355

Fax

(509) 326-3370

NPI assigned

Dec 21, 2018

Last updated

Dec 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennille Chaussee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Human Services

  dba Pioneer Center East

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
  • NPI 1063709756
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1699247130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14025 N KOTH RD",
            "city": "NEWMAN LAKE",
            "state": "WA",
            "postal_code": "990259484",
            "telephone_number": "509-954-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052119",
            "telephone_number": "509-325-2355",
            "fax_number": "509-326-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "TENNILLE",
        "middle_name": "ANNA",
        "credential": "CP00005071",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP00005071",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENNILLE",
            "last_name": "CHAUSSEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifeline Counseling and Community Services
• Jason Light
• Crystalena Rosa F Lightel
• Haley Rae Lightfoot
• Patricia L Lightfoot, PA-C
• Lighthouse Chiropractic Center LLC
• Lighthouse Counseling & Psychological Services, PLLC
• Lighthouse Health, LLC (LightHouse Health)
• Lauren Lee Lightner, LICSW
• Alyssa Likes

• Addiction (Substance Use Disorder) Counselor in Spokane, WA
• Providers in Spokane, 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 Dec 21, 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.