Active NPI
Rachel Gottlieb, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Belligham, WA
National Provider Identifier
1902624554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 61573007
- Practice address
- 4129 Meridina St. #220
Belligham, WA 98226 - Phone
- (360) 922-3030
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 61573007 | WA | Primary |
Addresses
Primary practice location
4129 Meridina St. #220
Belligham, WA 98226
Mailing address
8203 Birch Terrace PL
Custer, WA 98240-9416
Phone (480) 353-9026
Other names 1
- Rachel Gottlieb
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 |
|---|---|---|---|
| 61573007 | 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": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1902624554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 BIRCH TERRACE PL",
"city": "CUSTER",
"state": "WA",
"postal_code": "982409416",
"telephone_number": "480-353-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 MERIDINA ST. #220",
"city": "BELLIGHAM",
"state": "WA",
"postal_code": "98226",
"telephone_number": "360-922-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "RACHEL",
"credential": "SUDPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "61573007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "GOTTLIEB",
"credential": "SUDPT",
"code": "2",
"type": "Professional Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.