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MR. TAE SON LEE CDP, DVC
NPI 1679904841
Counselor - Addiction (Substance Use Disorder) in Lakewood, WA

Active since December 12, 2013PECOS Enrolled
8811 S TACOMA WAY #106, LAKEWOOD, WA 98499(253) 302-3826(253) 946-1660 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Tae Son Lee Cdp, Dvc NPPES

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

MR. TAE SON LEE CDP, DVC (NPI 1679904841) is an individual addiction (substance use disorder) provider in Lakewood, Washington, licensed in Washington (CP00001153) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679904841
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TAE SON LEECredential: CDP, DVC
Location Address8811 S TACOMA WAY #106Lakewood, WA 98499
Mailing Address8811 S Tacoma Way #106Lakewood, WA 98499 · (253) 302-3826 · Fax (253) 946-1660
Phone(253) 302-3826
Fax(253) 946-1660
Sole ProprietorNo
Enumeration DateDecember 12, 2013
✔ NPI 1679904841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP00001153
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CP00001153 (WA)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tae Son Lee Cdp, Dvc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tae Son Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asian American Chemical Dependency Treatment Services
Community/Behavioral Health
9102 BRIDGEPORT WAY SW
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1144451048 (253) 302-3826

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tae Son Lee's NPI number?

The NPI number for Tae Son Lee is 1679904841. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Tae Son Lee located?

Tae Son Lee practices at 8811 S Tacoma Way #106, Lakewood, WA 98499. The listed phone number is (253) 302-3826.

What is Tae Son Lee's specialty?

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

Is Tae Son Lee enrolled in Medicare?

Yes. Tae Son Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tae Son Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Son Lee reassigns Medicare benefits to Asian American Chemical Dependency Treatment Services (Lakewood, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tae Son Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tae Son Lee was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.