Active NPI
Enjouli Cammie Steward, CG 60832872
- Addiction (Substance Use Disorder) Counselor
- Fife, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60893863
- Practice address
- 5005 Pacific Hwy E Ste 20
Fife, WA 98424-2647 - Phone
- (253) 922-6522
- Fax
- (253) 922-6955
- NPI assigned
- Sep 24, 2018
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 60832872 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60893863 | WA | Primary |
Addresses
Primary practice location
5005 Pacific Hwy E Ste 20
Fife, WA 98424-2647
Mailing address
13014 97TH Ave E
Puyallup, WA 98373-9145
Phone (253) 283-8866
Other practice location 1
17002 Pacific Ave S
Spanaway, WA 98387-8253
Phone (253) 583-2323
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 |
|---|---|---|---|
| CP60893863 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| 60832872 | WA | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Atlas Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Kassuhn Inc Dba Alternative Counseling | Past | Accepting new patients | |
| Kassuhn Inc | Past | Accepting new patients |
Locations
5005 Pacific Hwy E
Ste 20
Fife, WA 98424
Phone (253) 922-6522
Organizations & group practices 3
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.
-
dba Serenity Counseling Services
- Addiction (Substance Use Disorder) Counselor
- Fife, WA
- NPI 1992560551
-
dba Alternative Counseling
- Substance Abuse Rehabilitation Facility
- Spanaway, WA
- NPI 1609156298
-
- Early Intervention Provider Agency
- Spanaway, WA
- NPI 1023562170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1891279949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13014 97TH AVE E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983739145",
"telephone_number": "253-283-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 PACIFIC HWY E STE 20",
"city": "FIFE",
"state": "WA",
"postal_code": "984242647",
"telephone_number": "253-922-6522",
"fax_number": "253-922-6955"
}
],
"practiceLocations": [
{
"address_1": "17002 Pacific Ave S",
"address_purpose": "LOCATION",
"city": "Spanaway",
"state": "WA",
"postal_code": "983878253",
"country_code": "US",
"telephone_number": "253-583-2323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWARD",
"first_name": "ENJOULI",
"middle_name": "CAMMIE",
"name_prefix": "Ms.",
"credential": "CG 60832872",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "WA",
"license": "60832872",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60893863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.