Individual provider Active NPI

Julie Ann Plumb, CDPT

  • Addiction (Substance Use Disorder) Counselor
  • Port Orchard, WA
National Provider Identifier
1790260966
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
729 Prospect St Ste 200
Port Orchard, WA 98366-5330
Phone
(360) 895-1307
Fax
(360) 895-4805
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

729 Prospect St Ste 200
Port Orchard, WA 98366-5330

Mailing address

729 Prospect St Ste 200
Port Orchard, WA 98366-5330
Phone (360) 895-1307

Other identifiers 1

IdentifierTypeStateIssuer
CO60655804OtherWACHEMICAL DEPENDENCY COUNSELOR / AFFILIATED COUNSELOR

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kassuhn Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1790260966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 PROSPECT ST STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665330",
            "telephone_number": "360-895-1307",
            "fax_number": "360-895-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PROSPECT ST STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665330",
            "telephone_number": "360-895-1307",
            "fax_number": "360-895-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDENCY COUNSELOR / AFFILIATED COUNSELOR",
            "identifier": "CO60655804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.