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PETER MAXIM USTYUGOV
NPI 1245117332
Peer Specialist in Lynnwood, WA

Active since August 19, 2025
19730 64TH AVE W, LYNNWOOD, WA 98036(206) 519-9717 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Maxim Ustyugov NPPES

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

PETER MAXIM USTYUGOV (NPI 1245117332) is an individual peer specialist in Lynnwood, Washington and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1245117332
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePETER MAXIM USTYUGOV
Location Address19730 64TH AVE WLynnwood, WA 98036-5957
Mailing Address517 Lake Washington Blvd SSeattle, WA 98144-2546 · (206) 427-0849
Phone(206) 519-9717
Sole ProprietorNo
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1245117332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
19730 64TH AVE W, Lynnwood, WA 98036
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Other Providers at the Same Location NPPES 4

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

HANNAH ANARIBA
Counselor
19730 64TH AVE W
LYNNWOOD, WA 98036
Snohomish County (206) 472-0755
HONEY JACK
Peer Specialist
19730 64TH AVE W
LYNNWOOD, WA 98036
Snohomish County (206) 612-8271
COUNSELING OFFICE OF DON H CHO MA INC
Counselor
19730 64TH AVE W
LYNNWOOD, WA 98036
Snohomish County (206) 697-7608
JENNY NUNEZ
Peer Specialist
19730 64TH AVE W
LYNNWOOD, WA 98036
Snohomish County (253) 306-4800

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 Peter Ustyugov's NPI number?

The NPI number for Peter Ustyugov is 1245117332. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Peter Ustyugov located?

Peter Ustyugov practices at 19730 64th Ave W, Lynnwood, WA 98036. The listed phone number is (206) 519-9717.

What is Peter Ustyugov's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Peter Ustyugov was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.