Steven Scott Petitte

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP61575789 Issued in WA

Practice address

5116 196TH St SW
Lynnwood, WA 98036-6148

Phone

(425) 776-1290

NPI assigned

Jul 17, 2020

Sex

Male

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.

• Asian American Chemical Dependency Treatment Services

  • Community/Behavioral Health Agency
  • Lynnwood, WA
  • NPI 1821382870
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1295343085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10533 2ND PL SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587810",
            "telephone_number": "425-239-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 196TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366148",
            "telephone_number": "425-776-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITTE",
        "first_name": "STEVEN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61575789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter T Nguyen PHD PLLC
• Michael J. Peters, M.D.
• Melissa Anne Petersen, MA, CCC-SLP
• Andrew Peterson, LMT
• Gabrielle Leilani Peterson, MSW
• Ellinor Petri Smith, PT
• Robert W Peyton, DDS
• John R Pfeifer, O.D.
• Mark J. Pfleger, M.D.
• Jennifer T. Pha M, O.D.

• Addiction (Substance Use Disorder) Counselor in Lynnwood, WA
• Providers in Lynnwood, 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 Oct 31, 2024; 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.