Individual provider Active NPI

Jalen Alex Stanger, SUDPT

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1851274260
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
61547980 Issued in WA
Practice address
1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone
(509) 325-5502
Fax
(509) 482-2794
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 61547980 WA Primary

Addresses

Primary practice location

1803 W Maxwell Ave
Spokane, WA 99201-2831

Mailing address

1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone (509) 325-5502

Other practice location 1

1907 W Maxwell Ave
Spokane, WA 99201-2831
Phone (509) 325-5502

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
61547980WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1851274260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MAXWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012831",
            "telephone_number": "509-325-5502",
            "fax_number": "509-482-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MAXWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012831",
            "telephone_number": "509-325-5502",
            "fax_number": "509-482-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 W MAXWELL AVE",
            "address_purpose": "LOCATION",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012831",
            "country_code": "US",
            "telephone_number": "509-325-5502",
            "fax_number": "509-482-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANGER",
        "first_name": "JALEN",
        "middle_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61547980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.