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DERRICK SIVERSON
NPI 1619606472
Counselor in Seattle, WA

Active since June 07, 2022
2100 24TH AVE S, SEATTLE, WA 98144(206) 382-5340 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Siverson NPPES

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

DERRICK SIVERSON (NPI 1619606472) is an individual counselor in Seattle, Washington and active in the NPI registry since June 2022. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1619606472
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDERRICK SIVERSON
Location Address2100 24TH AVE SSeattle, WA 98144-4637
Mailing Address2100 24th Ave SSeattle, WA 98144-4637
Phone(206) 382-5340
Sole ProprietorYes
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1619606472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2100 24TH AVE S, Seattle, WA 98144
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Secondary Practice Location 1

Location 12100 24th Ave SSeattle, WA 98144-4637 · Phone (206) 382-5340

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.

LAQUONIA D COOPER
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
OLIVER KENNEDY KLINE
Peer Specialist
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
JENNIE JEPSEN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOVELL SYKES
Community Health Worker
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
KATIE SHERPE
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340
LOU SCHWAB
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 556-5791
RAVINA BANUMATI GOBURDHUN
Case Manager/Care Coordinator
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 610-9708
MACKENZIE PUTMAN
Counselor
2100 24TH AVE S
SEATTLE, WA 98144
King County (206) 382-5340

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 Derrick Siverson's NPI number?

The NPI number for Derrick Siverson is 1619606472. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Derrick Siverson located?

Derrick Siverson practices at 2100 24th Ave S, Seattle, WA 98144. The listed phone number is (206) 382-5340.

What is Derrick Siverson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Derrick Siverson was last updated on June 7, 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.