Active NPI
Randolph D Tonasket, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Nespelem, WA
National Provider Identifier
1730809294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61248368
- Practice address
- 21 Colville St
Nespelem, WA 99155-0150 - Phone
- (509) 634-2610
- NPI assigned
- Sep 2, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61248834 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61248368 | WA | Primary |
Addresses
Primary practice location
21 Colville St
Nespelem, WA 99155-0150
Mailing address
PO Box 150
Nespelem, WA 99155-0150
Phone (509) 634-2610
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 |
|---|---|---|---|
| CG61248834 | WA | MD | Counselor |
| CO61248368 | 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": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1730809294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "NESPELEM",
"state": "WA",
"postal_code": "991550150",
"telephone_number": "509-634-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 COLVILLE ST",
"city": "NESPELEM",
"state": "WA",
"postal_code": "991550150",
"telephone_number": "509-634-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONASKET",
"first_name": "RANDOLPH",
"middle_name": "D",
"credential": "SUDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61248834",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61248368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nespelem, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.