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HEATHER ANN IVY SUDP III
NPI 1225738859
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since March 02, 2023
1415 CENTER ST, TACOMA, WA 98409(253) 280-9860(253) 280-9870 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Dec 4, 2023, Mar 22, 2023 and 1 more (4 updates tracked since 2023).

About Heather Ann Ivy Sudp Iii NPPES

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

HEATHER ANN IVY SUDP III (NPI 1225738859) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP61678744) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1225738859
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHEATHER ANN IVYCredential: SUDP III
Location Address1415 CENTER STTacoma, WA 98409-8210
Mailing Address9650 15th Ave SwSeattle, WA 98106-2576 · (206) 965-1055 · Fax (206) 965-1032
Phone(253) 280-9860
Fax(253) 280-9870
Sole ProprietorNo
Enumeration DateMarch 2, 2023
Last NPPES UpdateJuly 8, 20254 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1225738859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP61678744
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License CO61296221 (WA)
1415 CENTER ST, Tacoma, WA 98409
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Other Names 1

Former Name (1)Heather Ann Sample Sudp-t

Other Providers at the Same Location NPPES 6

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

CEDRIC LAMONT ARMSTRONG
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9860
ROBYN ANGELA WILDS SUDP
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9897
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9860
MARCHE WARD CDP
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9860
GABRIELA HERNANDEZ LUEVANO
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9856
MR. THEODORE BRYAN TENNISON CDPT
Counselor (Addiction (Substance Use Disorder))
1415 CENTER ST
TACOMA, WA 98409
Pierce County (253) 280-9860

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 Heather Ivy's NPI number?

The NPI number for Heather Ivy is 1225738859. It was assigned to this individual provider in the NPPES registry on March 2, 2023. The provider is also known as Heather Ann Sample Sudp-T.

Where is Heather Ivy located?

Heather Ivy practices at 1415 Center St, Tacoma, WA 98409. The listed phone number is (253) 280-9860.

What is Heather Ivy'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 Heather Ivy was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.