Individual provider Active NPI

Eleanor Valenzuela Ward, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
National Provider Identifier
1992824288
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
VALENEA49806 Issued in WA
Practice address
2708 Westmoor CT SW
Olympia, WA 98502-5754
Phone
(360) 943-8810
Fax
(360) 943-0931
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X VALENEA49806 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00001360 WA

Addresses

Primary practice location

2708 Westmoor CT SW
Olympia, WA 98502-5754

Mailing address

18633 Deerfield LN SW
Rochester, WA 98579-9180
Phone (360) 858-1682

Other identifiers 2

IdentifierTypeStateIssuer
2113288MedicaidWA
VALENEA49806OtherWALICENSE

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
CP00001360WAMDAddiction (Substance Use Disorder) Counselor
VALENEA49806WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1992824288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 DEERFIELD LN SW",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799180",
            "telephone_number": "360-858-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 WESTMOOR CT SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025754",
            "telephone_number": "360-943-8810",
            "fax_number": "360-943-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA WARD",
        "first_name": "ELEANOR",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "VALENEA49806",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113288",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "VALENEA49806",
            "state": "WA"
        }
    ],
    "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 Mar 24, 2021; 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.