SAMANTHA JOANN WYNN SUDPT
NPI 1720628167
Counselor - Addiction (Substance Use Disorder) in Cusick, WA

Q: What is Samantha Wynn's NPI number?

The NPI number for Samantha Wynn is 1720628167. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Q: What is Samantha Wynn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wynn was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 14, 2020

808 COMMUNITY HALL RD, CUSICK, WA 99119(509) 447-7193 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Joann Wynn Sudpt NPPES

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

SAMANTHA JOANN WYNN SUDPT (NPI 1720628167) is an individual addiction (substance use disorder) provider in Cusick, Washington, licensed in Washington (CO60982388) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1720628167

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSAMANTHA JOANN WYNNCredential: SUDPT

Location Address808 COMMUNITY HALL RDCusick, WA 99119-6034

Mailing Address934 S Garfield RdAirway Heights, WA 99001-9030 · (509) 447-7193

Phone(509) 447-7193

Sole ProprietorNo

Enumeration DateJanuary 14, 2020

✔ NPI 1720628167 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 · CO60982388

808 COMMUNITY HALL RD, Cusick, WA 99119

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Other Providers at the Same Location NPPES 3

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

DILLON RAYMOND SEEBER

Peer Specialist

808 COMMUNITY HALL RD
CUSICK, WA 99119

Pend Oreille County (509) 447-7193

ANGELA MARIE HIEBERT MSW

Counselor

808 COMMUNITY HALL RD
CUSICK, WA 99119

Pend Oreille County (509) 789-7630

PAULETTE ANDREWS CPC

Peer Specialist

808 COMMUNITY HALL RD
CUSICK, WA 99119

Pend Oreille County (509) 447-7193

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 Samantha Wynn's NPI number?

The NPI number for Samantha Wynn is 1720628167. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Samantha Wynn located?

Samantha Wynn practices at 808 Community Hall Rd, Cusick, WA 99119. The listed phone number is (509) 447-7193.

What is Samantha Wynn'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 Samantha Wynn was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.