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RYAN NICHOLS M.DIV., SUDP SUDP
NPI 1477160380
Counselor - Addiction (Substance Use Disorder) in Bellevue, WA

Active since September 24, 2020
1800 112TH AVE NE, BELLEVUE, WA 98004(425) 698-1515 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Nichols M.div., Sudp Sudp NPPES

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

RYAN NICHOLS M.DIV., SUDP SUDP (NPI 1477160380) is an individual addiction (substance use disorder) provider in Bellevue, Washington and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1477160380
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRYAN NICHOLS M.DIV., SUDPCredential: SUDP
Location Address1800 112TH AVE NEBellevue, WA 98004-2993
Mailing Address1800 112th Ave NeBellevue, WA 98004-2993
Phone(425) 698-1515
Sole ProprietorNo
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
✔ NPI 1477160380 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
1800 112TH AVE NE, Bellevue, WA 98004
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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.

DANI-RAE EDWARDS
Behavior Analyst
1800 112TH AVE NE
BELLEVUE, WA 98004
King County (417) 830-4796
MANOSHI VIN MSW
Social Worker
1800 112TH AVE NE, 240W
BELLEVUE, WA 98004
King County (425) 298-6535
MR. BARRY MARK GLATT LMHC
Counselor (Mental Health)
1800 112TH AVE NE, #150
BELLEVUE, WA 98004
King County (425) 646-7279
KATHY DANIELS KATHY DANIELS
Counselor (Mental Health)
1800 112TH AVE NE, SUITE 220W
BELLEVUE, WA 98004
King County (425) 452-8550
DR. KELLY ALLISON WILCYNSKI PH.D.
Psychologist (Clinical)
1800 112TH AVE NE, SUITE 150
BELLEVUE, WA 98004
King County (425) 646-7279
TERRY S ONEIL PHD PS
Psychologist (Clinical)
1800 112TH AVE NE, SUITE 322E
BELLEVUE, WA 98004
King County (425) 990-9840
MR. WALTER MATTHEW BRADLEY CDP
Counselor
1800 112TH AVE NE, SUITE 150W
BELLEVUE, WA 98004
King County (425) 646-7279
YOUNGHEE KIM MANOGARAN MS MA
Counselor (Mental Health)
1800 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 310-4213

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 Ryan Nichols M.div., Sudp's NPI number?

The NPI number for Ryan Nichols M.div., Sudp is 1477160380. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Ryan Nichols M.div., Sudp located?

Ryan Nichols M.div., Sudp practices at 1800 112th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 698-1515.

What is Ryan Nichols M.div., Sudp'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 Ryan Nichols M.div., Sudp was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.