DEREK SHEA UTRUP
NPI 1215413471
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since July 11, 2018

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Shea Utrup NPPES

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

DEREK SHEA UTRUP (NPI 1215413471) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP60546575) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1215413471
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEREK SHEA UTRUP
Location Address3629 S D STTacoma, WA 98418-6813
Mailing Address3629 S D StTacoma, WA 98418-6813
Sole ProprietorNo
Enumeration DateJuly 11, 2018
NPI 1215413471 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
Licenses Licensed in WA · CP60546575 Licensed in WA · 60546575
3629 S D ST, Tacoma, WA 98418

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.

Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Public Health or Welfare
3629 S D ST
TACOMA, WA 98418
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Licensed Practical Nurse
3629 S D ST
TACOMA, WA 98418
Nurse's Aide
3629 S D ST
TACOMA, WA 98418
Registered Nurse (Community Health)
3629 S D ST
TACOMA, WA 98418
Counselor (Addiction (Substance Use Disorder))
3629 S D ST
TACOMA, WA 98418

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 Derek Utrup's NPI number?

The NPI number for Derek Utrup is 1215413471. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Derek Utrup located?

Derek Utrup practices at 3629 S D St, Tacoma, WA 98418. The listed phone number is (253) 798-2825.

What is Derek Utrup's specialty?

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

When was this NPI record last updated?

The NPPES record for Derek Utrup was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.