Active NPI
James L Hoag Jr., A.A.S., SUDP
- Addiction (Substance Use Disorder) Counselor
- Puyallup, WA
National Provider Identifier
1902283070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60534205
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CO60183363 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| CP60534205 | 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": "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.