Upper Skagit Indian Tribe

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00001654 Issued in WA

Legal business name

UPPER SKAGIT INDIAN TRIBE

Practice address

25959 Community Plaza Way
Sedro Woolley, WA 98284-9721

Phone

(360) 854-7070

Fax

(360) 854-7060

NPI assigned

Jun 23, 2008

Organization subpart

Yes

Parent organization

UPPER SKAGIT INDIAN TRIBEAs reported in NPPES

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

Authorized official

Name

Ms. Marilyn M Scott

Title

Director of Health & Social Service

Phone

(360) 854-7065

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Upper Skagit Tribal CD Clinic Other name

Tax ID family

Upper Skagit Indian Tribe2 organizations share this tax ID, including this one

Part of

Upper Skagit Indian Tribe

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Upper Skagit Indian Tribe

  • Counseling Psychologist
  • Sedro Woolley, WA
  • NPI 1821259821
  NPD tax ID

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1285895284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25944 COMMUNITY PLAZA WAY",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849721",
            "telephone_number": "360-854-7070",
            "fax_number": "360-854-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25959 COMMUNITY PLAZA WAY",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849721",
            "telephone_number": "360-854-7070",
            "fax_number": "360-854-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SKAGIT INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER SKAGIT INDIAN TRIBE",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH & SOCIAL SERVICE",
        "authorized_official_telephone_number": "360-854-7065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995281",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "UP5781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Skagit Tribal CD Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Upper Skagit Tribal CD Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashlyn Tumblin, RN
• Pepper Turrell, CPC
• Kimberly Mary Underwood, RN
• Uniform Emergency Physicians, PLLC
• United NW Recovery Center Inc.
• Upper Skagit Indian Tribe
• Upper Skagit Indian Tribe
• Jennifer Marie Utigard, PHARMD
• Aaron Jon Van Wieringen, DPT
• Debbie Vancooney

• Addiction (Substance Use Disorder) Counselor in Sedro Woolley, WA
• Providers in Sedro Woolley, 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 Feb 15, 2023; 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.