Douglas Jay Dawson, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP603344743 Issued in WA

Practice address

22 S Thor St
Spokane, WA 99202-4855

Phone

(509) 532-2000

Fax

(509) 532-2005

NPI assigned

Oct 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yfa Connections

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1619058997

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1740906155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S THOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024855",
            "telephone_number": "509-532-2000",
            "fax_number": "509-532-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S THOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024855",
            "telephone_number": "509-532-2000",
            "fax_number": "509-532-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DOUGLAS",
        "middle_name": "JAY",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP603344743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Stephen Davison, PA-C
• Sarah Christine Davison, MSW
• Stephanie R Davison
• Joshua D Dawley, M.D.
• Diana Nancy Dawson, LMP
• Jeffrey Patrick Dawson, ARNP
• Mark Stephen Dawson
• Phillip M Dawson, ATC
• Day Chiropractic Clinic PS
• Jana Marie Day, PA-C

• 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 Oct 17, 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.

Verify at the official NPI Registry.