Vickie Lynn Sutton, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00001698 Issued in WA

Practice address

528 W 8TH St
Port Angeles, WA 98362-5810

Phone

(360) 457-9200

Fax

(360) 457-9229

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trillium Treatment Center Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Port Angeles, WA
  • NPI 1568517563
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285789586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625810",
            "telephone_number": "360-457-9200",
            "fax_number": "360-457-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983625810",
            "telephone_number": "360-457-9200",
            "fax_number": "360-457-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Sullivan
• Caitlin Elizabeth Sundin
• Susan C Johnson, Licsw, PLLC
• Jeffrey Sutherland
• Larry R Sutton, MAC, LAC, CDP
• Dayna Loren Svendsen
• Anna Catherine Swanson, LMP
• Jennifer Swanson, MD
• Tim Scott Sweeney, PHARMD
• Lavern Henry Swenson, DDS

• Addiction (Substance Use Disorder) Counselor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.