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MILES RAPHAEL WEISS GINGRICH
NPI 1093649279
Counselor - Addiction (Substance Use Disorder) in Mount Vernon, WA

Active since June 11, 2026
1905 CONTINENTAL PL, MOUNT VERNON, WA 98273(360) 755-6400(360) 755-6407 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miles Raphael Weiss Gingrich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILES RAPHAEL WEISS GINGRICH (NPI 1093649279) is an individual addiction (substance use disorder) provider in Mount Vernon, Washington, licensed in Washington (CDPT.CO.70142848) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093649279
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMILES RAPHAEL WEISS GINGRICH
Location Address1905 CONTINENTAL PLMount Vernon, WA 98273-5633
Mailing Address10 Loganberry LnBellingham, WA 98229-4417 · (505) 365-9160
Phone(360) 755-6400
Fax(360) 755-6407
Sole ProprietorNo
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1093649279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CDPT.CO.70142848
1905 CONTINENTAL PL, Mount Vernon, WA 98273
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Other Identifiers 1

OtherCDPT.CO.70142848WA · Sudpt License From Doh

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIO IGNACIO-DE DIOS
Counselor (Addiction (Substance Use Disorder))
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6405
ERICA MANNING SUDPT
Counselor (Addiction (Substance Use Disorder))
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6400
WILLIAM W TODD CPC
Peer Specialist
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6405
LOUIS BOWMAN HATCH IV
Peer Specialist
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6405
ALLEN ROY EASLEY
Counselor
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6406
NICOLE MARIE ERVIN MHCA.MC.70119748
Counselor (Mental Health)
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 441-3497
SKAGIT RECOVERY CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 428-7835
TAYLOR JAMES HASLETT
Counselor (Addiction (Substance Use Disorder))
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273
Skagit County (360) 755-6405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miles Raphael Gingrich's NPI number?

The NPI number for Miles Raphael Gingrich is 1093649279. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Miles Raphael Gingrich located?

Miles Raphael Gingrich practices at 1905 Continental Pl, Mount Vernon, WA 98273. The listed phone number is (360) 755-6400.

What is Miles Raphael Gingrich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Miles Raphael Gingrich was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.