Active NPI
Donald Scott Johnson, SUDPT
- Addiction (Substance Use Disorder) Counselor
- Bellingham, WA
National Provider Identifier
1912653049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO60862475
- Practice address
- 1221 Fraser St Ste E101
Bellingham, WA 98229-5844 - Phone
- (360) 714-8180
- Fax
- (360) 715-2915
- NPI assigned
- Feb 28, 2022
- 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 | CO60862475 | WA | Primary |
Addresses
Primary practice location
1221 Fraser St Ste E101
Bellingham, WA 98229-5844
Mailing address
6240 Hamilton Ave
Ferndale, WA 98248-5412
Phone (360) 714-8180
Other practice location 1
6044 Portal Way Ste 103
Ferndale, WA 98248-7828
Phone (360) 393-3461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WWW.ONEHEALTHPORT.COM | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| CO60862475 | 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": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1912653049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 HAMILTON AVE",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982485412",
"telephone_number": "360-714-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FRASER ST STE E101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982295844",
"telephone_number": "360-714-8180",
"fax_number": "360-715-2915"
}
],
"practiceLocations": [
{
"address_1": "6044 Portal Way Ste 103",
"address_purpose": "LOCATION",
"city": "Ferndale",
"state": "WA",
"postal_code": "982487828",
"country_code": "US",
"telephone_number": "360-393-3461",
"fax_number": "360-393-4579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DONALD",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "SUDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO60862475",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WWW.ONEHEALTHPORT.COM",
"affiliation": "N",
"endpointDescription": "WEBSITE",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1221 Fraser St Ste E101",
"city": "Bellingham",
"state": "WA",
"country_code": "US",
"postal_code": "982295844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.