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MR. JAKE ALEX MEHL SUDP
NPI 1750853057
Counselor - Addiction (Substance Use Disorder) in Everett, WA

Active since December 26, 2018
2732 GRAND AVE, EVERETT, WA 98201(425) 258-2407 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2023, May 11, 2022, Dec 26, 2018 (3 updates tracked since 2018).

About Mr. Jake Alex Mehl Sudp NPPES

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

MR. JAKE ALEX MEHL SUDP (NPI 1750853057) is an individual addiction (substance use disorder) provider in Everett, Washington, licensed in (261QR0405X) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1750853057
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JAKE ALEX MEHLCredential: SUDP
Location Address2732 GRAND AVEEverett, WA 98201-3416
Mailing Address2732 Grand Avenue, Suite 101Everett, WA 98201-3416 · (206) 940-0867
Phone(425) 258-2407
Sole ProprietorNo
Enumeration DateDecember 26, 2018
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1750853057 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 · 261QR0405X
2732 GRAND AVE, Everett, WA 98201
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Other Names 1

Former Name (1)Mrs. Kathleen Ann Mehl Sudp

Other Identifiers 1

Other1124159157WA · Evergreen Recovery Center

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.

DANIELLE SHANDERA
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842
KATHLEEN JOY WIDDIS CDP
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842
TERESA SPOON CDP
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842
CLINTON DREGER
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE, SUITE 101
EVERETT, WA 98201
Snohomish County (425) 322-0852
LIBERTY BETH DAVID CO60601889
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842
JOSEPH DAVID MILLARD CDPT, SHS
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842
MARCY RENEE BARKER I CDPT
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-0243
JEANETTE PALOMAREZ CO 60731554
Counselor (Addiction (Substance Use Disorder))
2732 GRAND AVE
EVERETT, WA 98201
Snohomish County (425) 259-5842

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 Jake Mehl's NPI number?

The NPI number for Jake Mehl is 1750853057. It was assigned to this individual provider in the NPPES registry on December 26, 2018. The provider is also known as Mrs. Kathleen Ann Mehl Sudp.

Where is Jake Mehl located?

Jake Mehl practices at 2732 Grand Ave, Everett, WA 98201. The listed phone number is (425) 258-2407.

What is Jake Mehl'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 Jake Mehl was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.