Active NPI
Paul Scarberry, LMHC-A, SUDP
- Mental Health Counselor
- Spanaway, WA
National Provider Identifier
1073089199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61508522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP61300281 | WA | |
| Mental Health Counselor | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP61300281 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| MC61508522 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penguin Counseling and Recovery Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| The Daniel Clinic, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Recovery Innovations, Inc | Multi-Specialty | Past | 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.
-
- Mental Health Counselor
- Spanaway, WA
- NPI 1366306466
Addiction (Substance Use Disorder)
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fife, WA
- NPI 1659880078
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.