Individual provider Active NPI

Paul Scarberry, LMHC-A, SUDP

  • Mental Health Counselor
  • Spanaway, WA
National Provider Identifier
1073089199
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61508522 Issued in WA
Practice address
201 160TH St S Ste 101
Spanaway, WA 98387-8508
Phone
(253) 904-6038
Fax
(253) 409-2622
NPI assigned
Oct 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CP61300281 WA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MC61508522 WA Primary

Addresses

Primary practice location

201 160TH St S Ste 101
Spanaway, WA 98387-8508

Mailing address

PO Box 382
Elbe, WA 98330-0382
Phone (253) 878-0536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514001615 WA Practitioner - Mental Health Counselor 1951870401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 382
Elbe, WA 98330-0382

PO Box
Suite 5299
Tacoma, WA 98415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP61300281WAMDAddiction (Substance Use Disorder) Counselor
MC61508522WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Penguin Counseling and Recovery Services Addiction (Substance Use Disorder) CurrentSince Dec 14, 2025 Accepting new patients
The Daniel Clinic, LLC Addiction (Substance Use Disorder) Past Accepting new patients
Recovery Innovations, Inc Multi-Specialty PastSince Apr 1, 2021 Accepting new patients

Locations

201 160th St S
Ste 101
Spanaway, WA 98387
Phone (206) 747-6989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1073089199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "ELBE",
            "state": "WA",
            "postal_code": "983300382",
            "telephone_number": "253-878-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 160TH ST S STE 101",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878508",
            "telephone_number": "253-904-6038",
            "fax_number": "253-409-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBERRY",
        "first_name": "PAUL",
        "credential": "LMHC-A, SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61300281",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61508522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

Verify at the official NPI Registry.