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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1467462952
Rehabilitation, Substance Use Disorder Unit in Lacey, WA

Active since August 08, 2006
4800 COLLEGE ST SE, LACEY, WA 98503(360) 456-7575(360) 493-5088 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1467462952), doing business as Providence St Peter Chemical Dependency Center, is a healthcare organization registered as a rehabilitation, substance use disorder unit in Lacey, Washington and active in the NPI registry since August 2006. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1467462952
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing Address909 N Broadway, Pbo/credentialingEverett, WA 98201-1409 · (425) 317-0246 · Fax (425) 317-0291
Phone(360) 456-7575
Fax(360) 493-5088
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1467462952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
4800 COLLEGE ST SE, Lacey, WA 98503
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Other Names 1

Doing Business AsProvidence St Peter Chemical Dependency Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

JUMAN PARK DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
DR. ABRAHAM WUSEOK JEON DO
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Thurston County (360) 486-2900
GRIGORIY A ROZENFELD DO
Emergency Medicine
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
KAREN LEE NEWMAN
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-5722
IAN SERRATO
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-4500
MICHAELA JANE DE GROOT PT, DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
CARA ELIZABETH BARDWELL PA-C
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
STEPHANIE MARY DEMPSEY RN
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1467462952. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Providence St Peter Chemical Dependency Center.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 456-7575.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Providence Health Plan list Providence Health & Services - Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.