Active NPI
Rodney Tyson Scheuffele, PEER COUNSELOR
- Counselor
- Everett, WA
National Provider Identifier
1194460766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1901 Wetmore Ave
Everett, WA 98201-2296 - Phone
- (425) 366-9159
- NPI assigned
- Apr 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | WA | Primary |
Addresses
Primary practice location
1901 Wetmore Ave
Everett, WA 98201-2296
Mailing address
1901 Wetmore Ave
Everett, WA 98201-2296
Phone (425) 366-9159
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rodneys@everettclubhouse.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1194460766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 WETMORE AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012296",
"telephone_number": "425-366-9159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WETMORE AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982012296",
"telephone_number": "425-366-9159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEUFFELE",
"first_name": "RODNEY",
"middle_name": "TYSON",
"name_prefix": "Mr.",
"credential": "PEER COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rodneys@everettclubhouse.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1901 Wetmore Ave",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982012296",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.