Active NPI
Paola J Chavira, CDPT
- Counselor
- Wenatchee, WA
National Provider Identifier
1760952105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 145 S Worthen St
Wenatchee, WA 98801-3081 - Phone
- (509) 662-6761
- NPI assigned
- Nov 28, 2018
- Last updated
- Mar 1, 2024
- Sex
- Female
- 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 | NU | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0060901011 | WA |
Addresses
Primary practice location
145 S Worthen St
Wenatchee, WA 98801-3081
Mailing address
P.O. Box 950
327 Okanogan Ave
Wenatchee, WA 98801
Phone (509) 662-9673
Other practice location 1
327 Okanogan Ave
Wenatchee, WA 98801
Phone (509) 662-9673
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 |
|---|---|---|---|
| 0060901011 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Alcohol and Drug Treatment | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wenatchee, WA
- NPI 1780771238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1760952105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 950",
"address_2": "327 OKANOGAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-662-9673",
"fax_number": "509-662-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013081",
"telephone_number": "509-662-6761"
}
],
"practiceLocations": [
{
"address_1": "327 Okanogan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "98801",
"country_code": "US",
"telephone_number": "509-662-9673",
"fax_number": "509-662-9441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVIRA",
"first_name": "PAOLA",
"middle_name": "J",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "0060901011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.