Active NPI
Michael Ernest Ofallon II
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
National Provider Identifier
1922925080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDPT.CO.70104503
- Practice address
- 922 S J St
Tacoma, WA 98405-4110 - Phone
- (253) 356-6500
- Fax
- (253) 275-5450
- NPI assigned
- Jun 30, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDPT.CO.70104503 | WA | Primary |
Addresses
Primary practice location
922 S J St
Tacoma, WA 98405-4110
Mailing address
919 S 9TH St
Tacoma, WA 98405-4520
Phone (253) 356-6500
Other practice location 1
919 S 9th St
Tacoma, WA 98405-4520
Phone (253) 356-6500
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Mental Health of Washington | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Elevation Recovery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tacoma, WA
- NPI 1982389516
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Graham, WA
- NPI 1568387439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1922925080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 S 9TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054520",
"telephone_number": "253-356-6500",
"fax_number": "253-275-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 S J ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054110",
"telephone_number": "253-356-6500",
"fax_number": "253-275-5450"
}
],
"practiceLocations": [
{
"address_1": "919 S 9th St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054520",
"country_code": "US",
"telephone_number": "253-356-6500",
"fax_number": "253-275-5450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFALLON",
"first_name": "MICHAEL",
"middle_name": "ERNEST",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-30",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CDPT.CO.70104503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.