Active NPI
Scott D. Wykes, PHD, LMHC, CDP
- Addiction (Substance Use Disorder) Counselor
- Marysville, WA
National Provider Identifier
1740325752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP00004138
- Practice address
- 1106 Columbia Ave
Marysville, WA 98270-4335 - Phone
- (360) 653-0374
- Fax
- (360) 658-0219
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00004138 | WA | Primary |
| Mental Health Counselor | 101YM0800X | LH00007178 | WA |
Addresses
Primary practice location
1106 Columbia Ave
Marysville, WA 98270-4335
Mailing address
1106 Columbia Ave
Marysville, WA 98270-4335
Phone (360) 653-0374
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00004138 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00007178 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1740325752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 COLUMBIA AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704335",
"telephone_number": "360-653-0374",
"fax_number": "360-658-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 COLUMBIA AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704335",
"telephone_number": "360-653-0374",
"fax_number": "360-658-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYKES",
"first_name": "SCOTT",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHD, LMHC, CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00004138",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00007178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.