Scott Michael Dickinson, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00004514 Issued in WA

Practice address

506 W Franklin St
Shelton, WA 98584-3517

Phone

(360) 427-5232

Fax

(360) 427-5006

NPI assigned

Mar 29, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1083825764
  NPD Authorized official
• New Directions Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chehalis, WA
  • NPI 1356551717
  NPD Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1679034748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320059",
            "telephone_number": "360-463-0927",
            "fax_number": "360-740-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W FRANKLIN ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843517",
            "telephone_number": "360-427-5232",
            "fax_number": "360-427-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1956 NE Kresky Ave",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985322307",
            "country_code": "US",
            "telephone_number": "360-740-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125353",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Develde, CRNA
• Karli Marlayne Devoe, OTR/L
• Miya A Diambri-Marohl
• Jacquelyn E Dick, MA PSYCH
• Janice M Dickinson
• Kristen Marie Distler
• Laura Dixon
• Donald R. Miller, MD
• Brenda Dorsey, MSW, LMHC
• Marsha Lynn Dougherty, MS, PT

• Addiction (Substance Use Disorder) Counselor in Shelton, WA
• Providers in Shelton, 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 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.