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MRS. TRISTA FAYE BREITENBAUCH SUDP
NPI 1124576418
Counselor - Mental Health in Vancouver, WA

Active since September 14, 2016
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 605-7628 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2021, Nov 5, 2019, Sep 14, 2016 (3 updates tracked since 2016).

About Mrs. Trista Faye Breitenbauch Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRISTA FAYE BREITENBAUCH SUDP (NPI 1124576418) is an individual mental health provider in Vancouver, Washington and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1124576418
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TRISTA FAYE BREITENBAUCHCredential: SUDP
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing AddressPo Box 1678Vancouver, WA 98668-1678
Phone(360) 605-7628
Sole ProprietorNo
Enumeration DateSeptember 14, 2016
Last NPPES UpdateApril 20, 20213 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1124576418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO 60255487 (WA)
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Public Health or Welfare
1601 E FOURTH PLAIN BLVD BLDG 17, 3RD FLOOR
VANCOUVER, WA 98661
Clark County (360) 397-8473
AMANDA LANCASTER
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LAURA LYNN TENNEY SUDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SCOTT C CHRISTENSEN SUDP-T
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
LAVONNA KOFSTAD
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
SHANNON N MCCARTHY RN
Registered Nurse
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (564) 397-8000
TAYLOR MICHELLE FAULK CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (800) 604-0025
ANDREA STRAHL RN
Registered Nurse (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trista Breitenbauch's NPI number?

The NPI number for Trista Breitenbauch is 1124576418. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Trista Breitenbauch located?

Trista Breitenbauch practices at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 605-7628.

What is Trista Breitenbauch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Trista Breitenbauch was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.