James Reynolds Hillaire Jr., CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00000242 Issued in WA

Practice address

6700 Totem Beach Rd
Tulalip, WA 98271-9714

Phone

(350) 651-4000

NPI assigned

Oct 17, 2008

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

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.

• Tulalip Tribes of Washington

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1780836007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 21ST AVE NW",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716960",
            "telephone_number": "425-971-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719714",
            "telephone_number": "350-651-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLAIRE",
        "first_name": "JAMES",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Noreen Hennings, CDP, NCAC-I
• Diane G Henry, SUDP
• Skyla Rae Alyce Henry, SUDPT
• Sheila Hereth-Holloway, RN60459792
• Rosemary Hill, MA, LMHC
• Susan Margaret Hillaire, CDP
• Sabina Hochroth, DO
• Justin Holland, LPN
• Steven Robert Ironwing II, CDP
• Jane E Jacobson, PHARM D

• Addiction (Substance Use Disorder) Counselor in Tulalip, WA
• Providers in Tulalip, 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, 2008; 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.