Active NPI
Kevin Andrew Pfeil
- Addiction (Substance Use Disorder) Counselor
- Arlington, WA
National Provider Identifier
1699543314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 61250593
- Practice address
- 16404 Smokey Point Blvd Ste 109
Arlington, WA 98223-8417 - Phone
- (360) 658-1388
- Fax
- (360) 658-9842
- NPI assigned
- Dec 12, 2023
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 61250593 | WA | Primary |
Addresses
Primary practice location
16404 Smokey Point Blvd Ste 109
Arlington, WA 98223-8417
Mailing address
7015 47TH Ave NE Apt 300
Marysville, WA 98270-4369
Phone (425) 330-8935
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 |
|---|---|---|---|
| 61250593 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPF Alpine Recovery, LLC | Current | Accepting new patients | |
| Alpine Recovery Services Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
16404 Smokey Point Blvd
Ste 109
Arlington, WA 98223
Phone (360) 502-2778
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Arlington, WA
- NPI 1033842323
-
- Addiction (Substance Use Disorder) Counselor
- Arlington, WA
- NPI 1093873911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1699543314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 47TH AVE NE APT 300",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704369",
"telephone_number": "425-330-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16404 SMOKEY POINT BLVD STE 109",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238417",
"telephone_number": "360-658-1388",
"fax_number": "360-658-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIL",
"first_name": "KEVIN",
"middle_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "61250593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.