SIDNEY YORKE JOHNSON SUDPT
NPI 1336885201
Counselor - Addiction (Substance Use Disorder) in Mount Vernon, WA

Q: What is Sidney Johnson's NPI number?

The NPI number for Sidney Johnson is 1336885201. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Q: What is Sidney Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Johnson was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 12, 2022

15837 OTTER POND DR, MOUNT VERNON, WA 98273(907) 227-6009 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Sidney Yorke Johnson Sudpt NPPES

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

SIDNEY YORKE JOHNSON SUDPT (NPI 1336885201) is an individual addiction (substance use disorder) provider in Mount Vernon, Washington, licensed in Washington (CO61278752) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1336885201

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSIDNEY YORKE JOHNSONCredential: SUDPT

Location Address15837 OTTER POND DRMount Vernon, WA 98273-8548

Mailing Address15837 Otter Pond DrMount Vernon, WA 98273-8548 · (907) 227-6009

Phone(907) 227-6009

Sole ProprietorNo

Enumeration DateMay 12, 2022

NPPES CertifiedMay 12, 2022

✔ NPI 1336885201 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

License✔ Licensed in WA · CO61278752

15837 OTTER POND DR, Mount Vernon, WA 98273

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Other Identifiers 1

MedicaidCO61278752WA

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 Sidney Johnson's NPI number?

The NPI number for Sidney Johnson is 1336885201. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Sidney Johnson located?

Sidney Johnson practices at 15837 Otter Pond Dr, Mount Vernon, WA 98273. The listed phone number is (907) 227-6009.

What is Sidney 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 Sidney Johnson was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.