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SAGE BEACH SUDPT
NPI 1750078002
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since April 18, 2023
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 397-8246 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sage Beach Sudpt NPPES

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

SAGE BEACH SUDPT (NPI 1750078002) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (61428672) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1750078002
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSAGE BEACHCredential: SUDPT
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address812 Se 136th Ave Unit G66Vancouver, WA 98683-6982 · (360) 989-4073
Phone(360) 397-8246
Sole ProprietorYes
Enumeration DateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1750078002 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 · 61428672
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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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.

CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Public Health or Welfare
1601 E FOURTH PLAIN BLVD BLDG 17, 3RD FLOOR
VANCOUVER, WA 98661
Clark County (360) 397-8473
AMANDA LANCASTER
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LAURA LYNN TENNEY SUDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SCOTT C CHRISTENSEN SUDP-T
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
LAVONNA KOFSTAD
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
SHANNON N MCCARTHY RN
Registered Nurse
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (564) 397-8000
TAYLOR MICHELLE FAULK CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (800) 604-0025
ANDREA STRAHL RN
Registered Nurse (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

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 Sage Beach's NPI number?

The NPI number for Sage Beach is 1750078002. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Sage Beach located?

Sage Beach practices at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 397-8246.

What is Sage Beach'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 Sage Beach was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.