Robert Wisdahl

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2610 Wetmore Ave
Everett, WA 98201-2927

Phone

(425) 258-5270

NPI assigned

Jun 5, 2025

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

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.

• Catholic Community Services Western Washington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Everett, WA
  • NPI 1669645073
  NPD (past)

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1346134178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WETMORE AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012927",
            "telephone_number": "425-248-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 WETMORE AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012927",
            "telephone_number": "425-258-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDAHL",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne-Marie Winward, PT
• Garrett Wireman, DPM, ATC
• Hilary Joy Wirkkala, D.P.T.
• Jennifer E. Wirkman, R.N.
• William M Wisbeck, M.D.
• Lori Michelle Wisdom
• Kari D Wise, MA
• Michael A Wisler
• Angela Denise Wisniewski, CO60451987
• Jessica D Wissenbach, DO

• Addiction (Substance Use Disorder) Counselor in Everett, WA
• Providers in Everett, 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 Jun 5, 2025; 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.