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Active NPI 1770015224 Individual Practitioner Male Practitioner

Doug Nishimura , CDPT

Counselor - Addiction (Substance Use Disorder) • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Doug Nishimura, CDPT is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Bothell, WA. Practice services are available at 22026 20TH AVE SE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22026 20th Ave Se Ste 101

Bothell, WA 980214449

Telephone 4256727293
Associated Practice Facility / Clinic
🏢 Wchs, Inc. Facility NPI 1053328187

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Bothell, WA (4667 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License WA CO60586723

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101XA0400X (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Caroline Pomada , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1043934318
Regina Howard , LPN

Licensed Practical Nurse

NPI 1114507175

Licensed Practical Nurse

Jennifer Sanchez

Licensed Practical Nurse

NPI 1396617478
Luanne Murro-Te , LPN

Licensed Practical Nurse

NPI 1427683366

Licensed Practical Nurse

George Pesho , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1578771986
Noemi Ocampo , BA, SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1598385007

Bachelor of Arts, SUDPT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2017

Registered at 22026 20TH AVE SE STE 101, BOTHELL, WA 980214449 (Tel: 4256727293)

📍
Updated Business Mailing Address April 03, 2017

Registered at 22026 20TH AVE SE STE 101, BOTHELL, WA 980214449

👤
Provider Name / Credentials Updated April 03, 2017

Recorded as DOUG NISHIMURA, CDPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Counselor (License #CO60586723 in WA)

🟢
Initial NPI Registration & Enumeration April 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770015224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2017
Last Update: April 03, 2017
Sole Proprietor: No

Mailing Address

22026 20th Ave Se Ste 101

Bothell, WA 980214449

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.