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MS. JESSICA DON MARIE VANDEWATER CO61661625
NPI 1366313827
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since September 16, 2025
12201 PACIFIC AVE S, TACOMA, WA 98444(253) 550-9058 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jessica Don Marie Vandewater Co61661625 NPPES

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

MS. JESSICA DON MARIE VANDEWATER CO61661625 (NPI 1366313827) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CO61661625) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1366313827
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JESSICA DON MARIE VANDEWATERCredential: CO61661625
Location Address12201 PACIFIC AVE STacoma, WA 98444-5126
Mailing Address12201 Pacific Ave STacoma, WA 98444-5126 · (253) 550-9058
Phone(253) 550-9058
Sole ProprietorYes
Enumeration DateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1366313827 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 · CO61661625
12201 PACIFIC AVE S, Tacoma, WA 98444
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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 14

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

MS. KIMBERLY ELIZABETH SPARKS CDP
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
SUSANNAH SONG MISIASZEK LMHC, SUDP
Counselor (Mental Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 238-7260
JAIME JEWELL CPSS
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 444-2395
ZACHARY GRAHAM DE VAHL MONTOYA LEWIS
Counselor (Mental Health)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 378-1464
MS. DEBORAH KAYE BROWN CDP-T
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425
ALEX DANIEL ROBERTS SUDPT
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 550-9058
MATTHEW EHLER LICSW
Social Worker (Clinical)
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 617-5620
AMANDA DAWN KIDNEY
Counselor (Addiction (Substance Use Disorder))
12201 PACIFIC AVE S
TACOMA, WA 98444
Pierce County (253) 536-6425

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 Jessica Vandewater's NPI number?

The NPI number for Jessica Vandewater is 1366313827. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Jessica Vandewater located?

Jessica Vandewater practices at 12201 Pacific Ave S, Tacoma, WA 98444. The listed phone number is (253) 550-9058.

What is Jessica Vandewater'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 Jessica Vandewater was last updated on September 16, 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.