1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Counselor
  6. NPI Profile

JACQUALINE R PETERSON SUDPT
NPI 1316887912
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since March 31, 2026
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 397-8246 Get Directions Write a Review

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

Record update history: Apr 8, 2026, Mar 31, 2026 (2 updates tracked since 2026).

About Jacqualine R Peterson Sudpt NPPES

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

JACQUALINE R PETERSON SUDPT (NPI 1316887912) is an individual addiction (substance use disorder) provider in Vancouver, Washington and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1316887912
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUALINE R PETERSONCredential: SUDPT
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address206 Ne 126th Ave Apt J115Vancouver, WA 98684-0866
Phone(360) 397-8246
Sole ProprietorYes
Enumeration DateMarch 31, 2026
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1316887912 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
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661
Open in Google Maps ↗

Other Names 1

Other Name (5)Jackie Peterson Sudpt

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Public Health or Welfare
1601 E FOURTH PLAIN BLVD BLDG 17, 3RD FLOOR
VANCOUVER, WA 98661
Clark County (360) 397-8473
AMANDA LANCASTER
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LAURA LYNN TENNEY SUDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SCOTT C CHRISTENSEN SUDP-T
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
LAVONNA KOFSTAD
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
SHANNON N MCCARTHY RN
Registered Nurse
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (564) 397-8000
TAYLOR MICHELLE FAULK CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (800) 604-0025
ANDREA STRAHL RN
Registered Nurse (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

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 Jacqualine Peterson's NPI number?

The NPI number for Jacqualine Peterson is 1316887912. It was assigned to this individual provider in the NPPES registry on March 31, 2026. The provider is also known as Jackie Peterson Sudpt.

Where is Jacqualine Peterson located?

Jacqualine Peterson practices at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Jacqualine Peterson'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 Jacqualine Peterson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.