Active NPI
Bret N Stern, CP 60929929
- Addiction (Substance Use Disorder) Counselor
- Redmond, WA
National Provider Identifier
1861959462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60929929
- Practice address
- 16225 NE 87TH St Ste A1
Redmond, WA 98052-3536 - Phone
- (954) 789-9454
- NPI assigned
- Mar 1, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60929929 | WA | Primary |
Addresses
Primary practice location
16225 NE 87TH St Ste A1
Redmond, WA 98052-3536
Mailing address
10818 111TH CT NE Apt O207
Kirkland, WA 98033-3848
Phone (954) 789-9454
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 |
|---|---|---|---|
| CP60929929 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1861959462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10818 111TH CT NE APT O207",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980333848",
"telephone_number": "954-789-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16225 NE 87TH ST STE A1",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523536",
"telephone_number": "954-789-9454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "BRET",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "CP 60929929",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60929929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.