BANJI HAZELLE BOTTCHER CPC
NPI 1124506399
Peer Specialist in Puyallup, WA

Active since July 31, 2018
325 E PIONEER, PUYALLUP, WA 98372(253) 697-8400(253) 697-3730 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 15, 2019, Jul 31, 2018 (2 updates tracked since 2018).

About Banji Hazelle Bottcher Cpc NPPES

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

BANJI HAZELLE BOTTCHER CPC (NPI 1124506399) is an individual peer specialist in Puyallup, Washington, licensed in Washington (CG60474886) and active in the NPI registry since July 2018. She maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1124506399
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameBANJI HAZELLE BOTTCHERCredential: CPC
Location Address325 E PIONEERPuyallup, WA 98372
Mailing Address325 E PioneerPuyallup, WA 98372-3265 · (253) 697-8400 · Fax (253) 697-3730
Fax(253) 697-3730
Sole ProprietorNo
Enumeration DateJuly 31, 2018
Last NPPES UpdateMay 15, 20192 updates tracked since enumeration
NPI 1124506399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WA · CG60474886
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
325 E PIONEER, Puyallup, WA 98372

Secondary Practice Location 1

Location 11338 Commerce AveLongview, WA 98632-3732 · Phone (360) 623-9272

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.

Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor
325 E PIONEER
PUYALLUP, WA 98372

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 Banji Bottcher's NPI number?

The NPI number for Banji Bottcher is 1124506399. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Banji Bottcher located?

Banji Bottcher practices at 325 E Pioneer, Puyallup, WA 98372. The listed phone number is (253) 697-8400.

What is Banji Bottcher's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Banji Bottcher was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.