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MR. DERIK L SANDOVAL SUDPT
NPI 1174137152
Counselor - Addiction (Substance Use Disorder) in Aberdeen, WA

Active since September 07, 2020
2700 SIMPSON AVE, SUITE 101, ABERDEEN, WA 98520(360) 612-0012(360) 532-0670 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2021, Sep 7, 2020 (2 updates tracked since 2020).

About Mr. Derik L Sandoval Sudpt NPPES

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

MR. DERIK L SANDOVAL SUDPT (NPI 1174137152) is an individual addiction (substance use disorder) provider in Aberdeen, Washington, licensed in Washington (CO60987238) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1174137152
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DERIK L SANDOVALCredential: SUDPT
Location Address2700 SIMPSON AVE, SUITE 101Aberdeen, WA 98520
Mailing AddressPo Box 1847Longview, WA 98632 · (360) 234-0203 · Fax (360) 577-0269
Phone(360) 612-0012
Fax(360) 532-0670
Sole ProprietorNo
Enumeration DateSeptember 7, 2020
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1174137152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO60987238
2700 SIMPSON AVE, Aberdeen, WA 98520
Open in Google Maps ↗

Other Identifiers 1

Medicaid2077844WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

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.

NICHOLAS W PETERS
Counselor
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
RACHAEL ROGAN
Counselor
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
KATEY WEISER
Peer Specialist
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
ADRIENNE LESLIE WEST DPT
Physical Therapist
2700 SIMPSON AVE, SUITE 201
ABERDEEN, WA 98520
Grays Harbor County (360) 537-2743
JOY ELIZABETH WATERHOUSE
Social Worker (Clinical)
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
COREY WORMAN
Peer Specialist
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
STEPHEN MARCUS PAGAN
Counselor
2700 SIMPSON AVE, STE 101
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012
ANDREATHIA GUTHRIE
Counselor
2700 SIMPSON AVE
ABERDEEN, WA 98520
Grays Harbor County (360) 612-0012

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 Derik Sandoval's NPI number?

The NPI number for Derik Sandoval is 1174137152. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Derik Sandoval located?

Derik Sandoval practices at 2700 Simpson Ave Suite 101, Aberdeen, WA 98520. The listed phone number is (360) 612-0012.

What is Derik Sandoval's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Derik Sandoval accept?

Health plans from Kaiser Permanente list Derik Sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derik Sandoval was last updated on May 5, 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.