NPIMap

Organization Active NPI

Asian American Chemical Dependency Treatment Services

  • Community/Behavioral Health Agency
  • Lynnwood, WA
National Provider Identifier
1821382870
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
31130100 Issued in WA
Legal business name
ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES
Practice address
4629 168TH St SW Ste E
Lynnwood, WA 98037-8640
Phone
(425) 776-1290
Fax
(425) 776-1298
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Tae Son Lee, CDP
Title
Executive Director
Phone
(253) 302-3826

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 31130100 WA
Community/Behavioral Health Agency 251S00000X 31130100 WA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 31130100 WA

Addresses

Primary practice location

4629 168TH St SW Ste E
Lynnwood, WA 98037-8640

Mailing address

9100 Bridgeport Way SW
Lakewood, WA 98499-2427
Phone (253) 302-3826

Other identifiers 1

IdentifierTypeStateIssuer
2096846MedicaidWA

Other names 1

  • Asian Counseling Treatment Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207001351 WA Part B Supplier - Clinic/Group Practice 2062848104 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, WA; Lynnwood, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian Amer Chem Dependency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9102 Bridgeport Way SW
Lakewood, WA 98499
Phone (253) 302-3826

8811 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 302-3826

5116 196th St SW
Ste 101
Lynnwood, WA 98036
Phone (425) 776-1290

9100 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 302-3826

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1821382870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992427",
            "telephone_number": "253-302-3826",
            "fax_number": "253-267-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 168TH ST SW STE E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378640",
            "telephone_number": "425-776-1290",
            "fax_number": "425-776-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AMERICAN CHEMICAL DEPENDENCY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-302-3826",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": "31130100",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "31130100",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "31130100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096846",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asian Counseling Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.