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SIMON S TEDROW SUDP
NPI 1295199743
Counselor - Addiction (Substance Use Disorder) in Kennewick, WA

Active since April 11, 2016
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336(877) 522-1275 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2022, Nov 17, 2022, May 30, 2019 and 1 more (4 updates tracked since 2018).

About Simon S Tedrow Sudp NPPES

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

SIMON S TEDROW SUDP (NPI 1295199743) is an individual addiction (substance use disorder) provider in Kennewick, Washington, licensed in Washington (CP60215848) and active in the NPI registry since April 2016. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295199743
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSIMON S TEDROWCredential: SUDP
Location Address8514 W GAGE BLVD STE GKennewick, WA 99336-8108
Mailing Address4211 Sinai CtPasco, WA 99301-8243 · (877) 522-1275
Phone(877) 522-1275
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateNovember 21, 20224 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1295199743 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 · CP60215848
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8514 W GAGE BLVD STE G, Kennewick, WA 99336
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Secondary Practice Locations 2

Location 1500 N Morain St Ste 1250Kennewick, WA 99336-2967 · Phone (509) 783-0500
Location 21175 Carondelet DrRichland, WA 99354-3300 · Phone (509) 943-9104 ext. 7288

Other Providers at the Same Location NPPES 13

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

IDEAL BALANCE PLLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 524-9903
REBECA GALVEZ CPC
Peer Specialist
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 593-5061
IDEAL TELEMEDICINE SERVICES, LLC
Clinic/Center
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 222-1275
NAKIA BECERRA CDP
Counselor (Addiction (Substance Use Disorder))
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 396-5927
ALYSSA K GOMEZ SUDP
Counselor (Addiction (Substance Use Disorder))
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 593-5064
MS. PENNY S BELL SUDP
Counselor (Addiction (Substance Use Disorder))
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 440-3387
SARAH EAN SAENZ M.A., C.D.P.T.
Counselor (Addiction (Substance Use Disorder))
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 222-1275
BRITNEY ZAVALA SUDP
Counselor (Addiction (Substance Use Disorder))
8514 W GAGE BLVD STE G
KENNEWICK, WA 99336
Benton County (509) 524-9903

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 Simon Tedrow's NPI number?

The NPI number for Simon Tedrow is 1295199743. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Simon Tedrow located?

Simon Tedrow practices at 8514 W Gage Blvd Ste G, Kennewick, WA 99336. The listed phone number is (877) 522-1275.

What is Simon Tedrow'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 Simon Tedrow was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.