Individual provider Active NPI

Joseph Bannish

  • Addiction (Substance Use Disorder) Counselor
  • Aberdeen, WA
National Provider Identifier
1982371704
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDPT.CO.70148234 Issued in WA
Practice address
205 E Huntley St
Aberdeen, WA 98520-8615
Phone
(360) 581-3212
NPI assigned
Aug 28, 2021
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 CDPT.CO.70148234 WA Primary

Addresses

Primary practice location

205 E Huntley St
Aberdeen, WA 98520-8615

Mailing address

703 E St
Centralia, WA 98531-4746
Phone (360) 593-2652

Other practice location 1

305 Pacific Ave S Ste C
Kelso, WA 98626-1638
Phone (888) 481-2359

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

OrganizationSpecialtyStatusNew patients
Destination Hope and Recovery LLC CurrentSince Apr 3, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1982371704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314746",
            "telephone_number": "360-593-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E HUNTLEY ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985208615",
            "telephone_number": "360-581-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Pacific Ave S Ste C",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986261638",
            "country_code": "US",
            "telephone_number": "888-481-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISH",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-28",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDPT.CO.70148234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.