Mariya Petrovna Popova, SUDP/T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2732 Grand Ave Ste 101
Everett, WA 98201-3416

Phone

(425) 322-0830

Fax

(425) 259-0243

NPI assigned

Jun 11, 2026

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1912831009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 EVERGREEN WAY APT C417",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036460",
            "telephone_number": "425-382-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 GRAND AVE STE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013416",
            "telephone_number": "425-322-0830",
            "fax_number": "425-259-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVA",
        "first_name": "MARIYA",
        "middle_name": "PETROVNA",
        "credential": "SUDP/T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Aleixs Pool
• Mark Christian Poole
• Marsha Kimberley Poole, PHARMD
• Perry Yui Ming Poon, RPH
• Ksenia Popova
• Kimberly Ruth Poppe, ARNP
• Leslie Dean Poppe, PHD
• Amalia D Poquiz, OD
• Port Gardner Bay Recovery
• Jennifer Porter, LPN

• 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 11, 2026; 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.