Active NPI
Jaimie Alice Stewart, BA,CDP
- Addiction (Substance Use Disorder) Counselor
- Lakewood, WA
National Provider Identifier
1972803286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP.CP.60167007
- Practice address
- 10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346 - Phone
- (253) 473-7474
- Fax
- (253) 474-9724
- NPI assigned
- Nov 2, 2010
- 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 | CDP.CP.60167007 | WA | Primary |
Addresses
Primary practice location
10828 Gravelly Lake Dr SW Ste 204
Lakewood, WA 98499-1346
Mailing address
PO Box 203
Roy, WA 98580-0203
Phone (253) 592-8140
Other practice location 1
505 Washington Ave S
Kent, WA 98032-5709
Phone (253) 833-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156922 | Medicaid | WA |
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60167007 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Treatment Center Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Crossroads Treatment Center, Inc. | Addiction (Substance Use Disorder) | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
- NPI 1417025461
-
- Addiction (Substance Use Disorder) Counselor
- Lakewood, WA
- NPI 1417397951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1972803286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "ROY",
"state": "WA",
"postal_code": "985800203",
"telephone_number": "253-592-8140",
"fax_number": "253-474-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10828 GRAVELLY LAKE DR SW STE 204",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991346",
"telephone_number": "253-473-7474",
"fax_number": "253-474-9724"
}
],
"practiceLocations": [
{
"address_1": "505 Washington Ave S",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980325709",
"country_code": "US",
"telephone_number": "253-833-7444",
"fax_number": "253-661-8631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "JAIMIE",
"middle_name": "ALICE",
"name_prefix": "Ms.",
"credential": "BA,CDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CDP.CP.60167007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2156922",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.