Active NPI
Adrian Marshall Ford
- Counselor
- Auburn, WA
National Provider Identifier
1811262892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60273460
- Practice address
- 505 29TH St SE
Sound Mental Health
Auburn, WA 98002-7541 - Phone
- (253) 876-7650
- Fax
- (253) 876-7651
- NPI assigned
- Mar 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60273460 | WA | Primary |
Addresses
Primary practice location
505 29TH St SE
Sound Mental Health
Auburn, WA 98002-7541
Mailing address
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
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 |
|---|---|---|---|
| CG60273460 | WA | MD | Counselor |
Practice roles
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Auburn, WA
- NPI 1053971234
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1811262892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E OLIVE ST",
"address_2": "SOUND MENTAL HEALTH",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222735",
"telephone_number": "206-302-2200",
"fax_number": "206-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 29TH ST SE",
"address_2": "SOUND MENTAL HEALTH",
"city": "AUBURN",
"state": "WA",
"postal_code": "980027541",
"telephone_number": "253-876-7650",
"fax_number": "253-876-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ADRIAN",
"middle_name": "MARSHALL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60273460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.