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CORINNE A SUDDUTH
NPI 1639823255
Counselor - Mental Health in Tacoma, WA

Active since February 11, 2022Opted out of Medicare · through Nov 10, 2027
1305 TACOMA AVE S STE 305, TACOMA, WA 98402(253) 341-6423 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corinne A Sudduth NPPES

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

CORINNE A SUDDUTH (NPI 1639823255) is an individual mental health provider in Tacoma, Washington and active in the NPI registry since February 2022. She has opted out of Medicare through November 10, 2027.

NPPES Registry Identity

NPI1639823255
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCORINNE A SUDDUTH
Location Address1305 TACOMA AVE S STE 305Tacoma, WA 98402-1903
Mailing Address1305 Tacoma Ave S Ste 305Tacoma, WA 98402-1903
Phone(253) 341-6423
Sole ProprietorNo
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1639823255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1305 TACOMA AVE S STE 305, Tacoma, WA 98402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Corinne A Sudduth has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2025 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2025
Opt-Out In Effect ThroughNovember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

SOPHIA MERRILL
Social Worker
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
LINZIE LEE SMITH
Technician, Other
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
ISABELLE AMUNDSEN
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
KRYSTA VAN WOERT
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
KELLI BERAME
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
LEATH ALEXANDER DUNFORD
Peer Specialist
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800
TIFFANY ORTH
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 279-3978
GLENN ALAN KEELING
Counselor
1305 TACOMA AVE S STE 305
TACOMA, WA 98402
Pierce County (253) 396-5800

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 Corinne Sudduth's NPI number?

The NPI number for Corinne Sudduth is 1639823255. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Corinne Sudduth located?

Corinne Sudduth practices at 1305 Tacoma Ave S Ste 305, Tacoma, WA 98402. The listed phone number is (253) 341-6423.

What is Corinne Sudduth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Corinne Sudduth enrolled in Medicare?

No. Corinne Sudduth has opted out of Medicare through November 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Corinne Sudduth accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Corinne Sudduth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corinne Sudduth was last updated on February 11, 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.