Individual provider Active NPI

Carl Albert Robinson, SUDP, MSW

  • Addiction (Substance Use Disorder) Counselor
  • Vancouver, WA
National Provider Identifier
1922501998
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP.CP.61079474 Issued in WA
Practice address
2410 Grand Blvd
Vancouver, WA 98661-4630
Phone
(360) 729-7037
NPI assigned
Mar 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BHA.FS.61435115 WA
Social Worker 104100000X SWIA.SC.70087764 WA
Peer Specialist 175T00000X CPSS.PR.70055480 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP.CP.61079474 WA Primary

Addresses

Primary practice location

2410 Grand Blvd
Vancouver, WA 98661-4630

Mailing address

2410 Grand Blvd
Vancouver, WA 98661-4630
Phone (360) 369-9303

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
CDP.CP.61079474WAMDAddiction (Substance Use Disorder) Counselor
SWIA.SC.70087764WAMDClinical Social Worker
CPSS.PR.70055480WAMDPeer Specialist
BHA.FS.61435115WAMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Recovery Services Addiction (Substance Use Disorder) Current Accepting new patients

Locations

2410 Grand Blvd
Vancouver, WA 98661
Phone (360) 718-7279

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1922501998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614630",
            "telephone_number": "360-369-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614630",
            "telephone_number": "360-729-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CARL",
        "middle_name": "ALBERT",
        "credential": "SUDP, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "BHA.FS.61435115",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SWIA.SC.70087764",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CPSS.PR.70055480",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDP.CP.61079474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.