Individual provider Active NPI

James L Hoag Jr., A.A.S., SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Puyallup, WA
National Provider Identifier
1902283070
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60534205 Issued in WA
Practice address
800 S Meridian
Puyallup, WA 98371-6995
Phone
(253) 290-0431
Fax
(253) 517-3531
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 CO60183363 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60534205 WA Primary

Addresses

Primary practice location

800 S Meridian
Puyallup, WA 98371-6995

Mailing address

5401 S 12TH St Apt 1304
Tacoma, WA 98465-2614
Phone (253) 988-2191

Other practice location 1

510 Tacoma Ave S
Tacoma, WA 98402-5416
Phone (253) 572-4750

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
Credentials
Associate of Applied Science

State licenses

LicenseStateTypeSpecialty
CO60183363WAMDAddiction (Substance Use Disorder) Counselor
CP60534205WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1902283070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S 12TH ST APT 1304",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652614",
            "telephone_number": "253-988-2191",
            "fax_number": "253-272-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716995",
            "telephone_number": "253-290-0431",
            "fax_number": "253-517-3531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Tacoma Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984025416",
            "country_code": "US",
            "telephone_number": "253-572-4750",
            "fax_number": "253-272-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAG",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "A.A.S., SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60183363",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60534205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.