Shoreline Branch – Addiction (Substance Use Disorder) Counselor, NPI 1144312877

Shoreline Branch is a healthcare provider. based in Seattle, Washington. specializing in Addiction (Substance Use Disorder) Counselor. The organization holds a License No. 17-0158-01 (WA). The NPI Number for Shoreline Branch is 1144312877

Main info

Organization
Name
Shoreline Branch
NPI
1144312877
Phone
(206) 723-1980
Address
5802 RAINIER AVE S
Authorized Official
SEAN POTTER BILLING MANAGER
Enumeration Date
29 September 2006
Last Update Date
4 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Shoreline Branch

  • 5802 RAINIER AVE S

    SEATTLE, WA 981182706

    Phone: (206) 723-1980

    Fax: (206) 721-3930

    Type: Mailing

  • 1116, Summit Avenue, First Hill, Seattle, King County, Washington, 98101, United States

    SEATTLE, WA 981012831

    Phone: (206) 323-0930

    Fax: (206) 454-3778

    Type: Mailing

  • Aurora Avenue North, Parkwood, Shoreline, King County, Washington, 98133, United States

    SHORELINE, WA 981335310

    Phone: (206) 323-0930

    Fax: (206) 454-3778

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-06

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98118)

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Frequently asked questions

How do I look up Shoreline Branch by NPI?
Use NPI 1144312877 when you need to reference Shoreline Branch in forms, claims, or directories.
Is Shoreline Branch's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Shoreline Branch?
The page reflects Addiction (Substance Use Disorder) Counselor for Shoreline Branch. Clinical services aligned with this taxonomy classification.
What location shows for Shoreline Branch?
We surface Seattle, Washington for Shoreline Branch based on available NPPES addresses.
Is Shoreline Branch a real provider?
This page reflects official NPPES data for NPI 1144312877. Always confirm identity and privileges with the practice and licensing boards.

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