Individual provider Active NPI

John Mortinson, CDPT

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
National Provider Identifier
1972052934
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO 60689181 Issued in WA
Practice address
3773 Martin Way E
BLGG a, Suite 105
Olympia, WA 98506-5048
Phone
(360) 688-7312
Fax
(360) 688-7318
NPI assigned
Sep 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO 60689181 WA Primary

Addresses

Primary practice location

3773 Martin Way E
BLGG a, Suite 105
Olympia, WA 98506-5048

Mailing address

1534 Thomas St NW
Olympia, WA 98502-3110
Phone (360) 402-2105

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

LicenseStateTypeSpecialty
CO 60689181WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Resources II Addiction (Substance Use Disorder) Past Accepting new patients
Northwest Resources II Addiction (Substance Use Disorder) Past Accepting new patients
Northwest Resources II Addiction (Substance Use Disorder) Past Accepting new patients
Northwest Resources II Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1972052934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 THOMAS ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985023110",
            "telephone_number": "360-402-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 MARTIN WAY E",
            "address_2": "BLGG A, SUITE 105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065048",
            "telephone_number": "360-688-7312",
            "fax_number": "360-688-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTINSON",
        "first_name": "JOHN",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60689181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.