STAR MARIE JOHNSON SUDP
NPI 1235783366
Counselor - Addiction (Substance Use Disorder) in Aberdeen, WA

Active since July 26, 2019
1812 SUMNER AVE, ABERDEEN, WA 98520(360) 584-5078(844) 554-3370 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Nov 13, 2020, Oct 29, 2020 and 4 more (7 updates tracked since 2019).

About Star Marie Johnson Sudp NPPES

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

STAR MARIE JOHNSON SUDP (NPI 1235783366) is an individual addiction (substance use disorder) provider in Aberdeen, Washington, licensed in Washington (CP61505739) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1235783366
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTAR MARIE JOHNSONCredential: SUDP
Location Address1812 SUMNER AVEAberdeen, WA 98520-4602
Mailing Address380 W Haven DrElma, WA 98541-9515 · (360) 270-3000
Fax(844) 554-3370
Sole ProprietorNo
Enumeration DateJuly 26, 2019
Last NPPES UpdateSeptember 9, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1235783366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP61505739
Also ListedCounselorTaxonomy 101Y00000X · License CO61000223 (WA)
Also ListedPeer SpecialistTaxonomy 175T00000X · License CG60987591 (WA)
1812 SUMNER AVE, Aberdeen, WA 98520

Other Providers at the Same Location NPPES 10

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

Dermatology
1812 SUMNER AVE, # F
ABERDEEN, WA 98520
Psychologist
1812 SUMNER AVE
ABERDEEN, WA 98520
Pharmacist
1812 SUMNER AVE
ABERDEEN, WA 98520
Marriage & Family Therapist
1812 SUMNER AVE
ABERDEEN, WA 98520
Counselor (Mental Health)
1812 SUMNER AVE
ABERDEEN, WA 98520
Pharmacist
1812 SUMNER AVE, SUITE H
ABERDEEN, WA 98520
Chiropractor
1812 SUMNER AVE, SUITE D
ABERDEEN, WA 98520
Massage Therapist
1812 SUMNER AVE, SUITE D
ABERDEEN, WA 98520

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 Star Johnson's NPI number?

The NPI number for Star Johnson is 1235783366. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Where is Star Johnson located?

Star Johnson practices at 1812 Sumner Ave, Aberdeen, WA 98520. The listed phone number is (360) 584-5078.

What is Star Johnson'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 Star Johnson was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.