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SPOKANE TREATMENT AND RECOVERY SERVICES
NPI 1104957323
Counselor - Addiction (Substance Use Disorder) in Spokane, WA

Active since March 08, 2007CLIA 50D2209782 · Waiver
4324 N JEFFERSON ST, SPOKANE, WA 99205(509) 315-8682(509) 327-7816 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2024, Jun 13, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Spokane Treatment And Recovery Services NPPES

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

SPOKANE TREATMENT AND RECOVERY SERVICES (NPI 1104957323) is a healthcare organization registered as an addiction (substance use disorder) in Spokane, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Joshua Mayer, Interim Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104957323
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSPOKANE TREATMENT AND RECOVERY SERVICES
Location Address4324 N JEFFERSON STSpokane, WA 99205-1209
Mailing AddressPo Box 2845Spokane, WA 99220-2845 · (509) 477-4633 · Fax (506) 477-4630
Phone(509) 315-8682
Fax(509) 327-7816
Organization SubpartNo
Authorized OfficialJoshua MayerInterim Executive Director · (509) 570-7250
Enumeration DateMarch 8, 2007
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1104957323 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
4324 N JEFFERSON ST, Spokane, WA 99205
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2209782

Spokane Treatment And Recovery Services · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2209782
Laboratory TypeDrug Treatment
Certificate Effective DateJanuary 15, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRyan Kent
Laboratory Phone(509) 570-7250
Laboratory LocationSpokane Treatment And Recovery Services105 W 3rd Ave, Spokane, WA 99201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LACEY A KUNGAS
Technician
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
KATIE MARIE FOX SUDPT
Counselor (Addiction (Substance Use Disorder))
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
JESSICA WARRIOR SUDP
Counselor (Addiction (Substance Use Disorder))
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
BOBBI JOSEPHINE SMITH CPC
Peer Specialist
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
KAREN SETH WITTRY
Counselor (Addiction (Substance Use Disorder))
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
AMBER NICOLE CUDA
Counselor (Mental Health)
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
SHARYL LYNN BROWN
Behavior Technician
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682
KARA FREDERICK
Counselor (Addiction (Substance Use Disorder))
4324 N JEFFERSON ST
SPOKANE, WA 99205
Spokane County (509) 315-8682

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 Spokane Treatment And Recovery Services's NPI number?

The NPI number for Spokane Treatment And Recovery Services is 1104957323. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Spokane Treatment And Recovery Services located?

Spokane Treatment And Recovery Services is located at 4324 N Jefferson St, Spokane, WA 99205. The listed phone number is (509) 315-8682.

What is Spokane Treatment And Recovery Services's specialty?

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

Does Spokane Treatment And Recovery Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2209782) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spokane Treatment And Recovery Services was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.