Individual provider Active NPI

Stephanie Lee Becker, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Aberdeen, WA
National Provider Identifier
1831613678
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60715789 Issued in WA
Practice address
516 E 1St St
Aberdeen, WA 98520-4106
Phone
(360) 350-4010
Fax
(360) 533-9825
NPI assigned
Aug 2, 2017
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60715789 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 60715789 WA Primary

Addresses

Primary practice location

516 E 1St St
Aberdeen, WA 98520-4106

Mailing address

1009 Valley View Way
Aberdeen, WA 98520-1564
Phone (360) 584-0050

Other practice location 1

1009 Valley View Way
Aberdeen, WA 98520-1564
Phone (360) 584-0050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stephanie.Becker@ctcprograms.com Direct

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

LicenseStateTypeSpecialty
60715789WAMDAddiction (Substance Use Disorder) Counselor
CP60715789WAMDAddiction (Substance Use Disorder) Counselor

Interoperability endpoints

  • Direct secure messaging: stephanie.becker@ctcprograms.com

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1831613678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 VALLEY VIEW WAY",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201564",
            "telephone_number": "360-584-0050",
            "fax_number": "360-533-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E 1ST ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204106",
            "telephone_number": "360-350-4010",
            "fax_number": "360-533-9825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Valley View Way",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "985201564",
            "country_code": "US",
            "telephone_number": "360-584-0050",
            "fax_number": "360-533-3066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60715789",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60715789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie.Becker@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "Secure email server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure email server",
            "address_1": "516 E 1st St",
            "city": "Aberdeen",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985204106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.