Individual provider Active NPI

Gary Scott Sims, S.U.D.P.

  • Addiction (Substance Use Disorder) Counselor
  • Oakville, WA
National Provider Identifier
1538370960
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00001819 Issued in WA
Practice address
PO Box 508
Oakville, WA 98568-0508
Phone
(360) 709-1661
Fax
(707) 274-4628
NPI assigned
May 25, 2007
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00001819 WA Primary

Addresses

Primary practice location

PO Box 508
Oakville, WA 98568-0508

Mailing address

PO Box 508
Oakville, WA 98568-0508
Phone (360) 360-7091

Other practice location 1

7017 NE Highway 99 Ste 114
Vancouver, WA 98665-0554
Phone (360) 694-7484

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

State licenses

LicenseStateTypeSpecialty
CP00001819WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paprocki-Sims. LLC PastSince Dec 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1538370960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680508",
            "telephone_number": "360-360-7091",
            "fax_number": "707-274-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680508",
            "telephone_number": "360-709-1661",
            "fax_number": "707-274-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7017 NE Highway 99 Ste 114",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986650554",
            "country_code": "US",
            "telephone_number": "360-694-7484",
            "fax_number": "360-694-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "GARY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "S.U.D.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.