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THEA MAXIM SUDPT
NPI 1548135353
Student in an Organized Health Care Education/Training Program in Shoreline, WA

Active since October 09, 2025
16715 AURORA AVE N STE 102, SHORELINE, WA 98133(206) 546-9766 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thea Maxim Sudpt NPPES

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

THEA MAXIM SUDPT (NPI 1548135353) is an individual student in an organized health care education/training program in Shoreline, Washington, licensed in Washington (CO61403069) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1548135353
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHEA MAXIMCredential: SUDPT
Location Address16715 AURORA AVE N STE 102Shoreline, WA 98133-5310
Mailing Address5802 169th Ave NeSnohomish, WA 98290-4544 · (206) 375-2527
Phone(206) 546-9766
Sole ProprietorNo
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1548135353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · CO61403069
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
16715 AURORA AVE N STE 102, Shoreline, WA 98133
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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.

SONYA PATRCIA GIRTMAN
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9766
NICHOLAS HANDWERK
Student in an Organized Health Care Education/Training Program
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9866
ANDREA KATHERINE ARANY-KOVACS SUDP
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9766
KIMBERLY KAY OLATAWURA SUDPT
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9766
MENBERE KIFLE
Counselor
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9766
MS. THERESA C BEI CDP
Counselor (Addiction (Substance Use Disorder))
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 547-9766
THERAPEUTIC HEALTH SERVICES
Clinic/Center (Methadone)
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 323-0930
KYLA LEONARD LWSAIC
Counselor
16715 AURORA AVE N STE 102
SHORELINE, WA 98133
King County (206) 546-9766

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 Thea Maxim's NPI number?

The NPI number for Thea Maxim is 1548135353. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Thea Maxim located?

Thea Maxim practices at 16715 Aurora Ave N Ste 102, Shoreline, WA 98133. The listed phone number is (206) 546-9766.

What is Thea Maxim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Thea Maxim was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.