SUZANNA SHEPHERD
NPI 1780036004
Counselor - Addiction (Substance Use Disorder) in Bothell, WA

Active since July 11, 2016
22026 20TH AVE SE STE 101, CANYON PARK TREATMENT SOLUTIONS, BOTHELL, WA 98021(425) 672-7293(425) 329-4640 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suzanna Shepherd NPPES

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

SUZANNA SHEPHERD (NPI 1780036004) is an individual addiction (substance use disorder) provider in Bothell, Washington, licensed in Washington (CO60656742) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1780036004
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUZANNA SHEPHERD
Location Address22026 20TH AVE SE STE 101, CANYON PARK TREATMENT SOLUTIONSBothell, WA 98021-4449
Mailing Address22026 20th Ave Se Ste 101, Canyon Park Treatment SolutionsBothell, WA 98021-4449 · (425) 672-7293 · Fax (425) 329-4640
Fax(425) 329-4640
Sole ProprietorNo
Enumeration DateJuly 11, 2016
Last NPPES UpdateApril 4, 2017
NPI 1780036004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CO60656742
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 60656742 (WA)
22026 20TH AVE SE STE 101, Bothell, WA 98021

Other Identifiers 1

MedicaidCO60656742WA

Other Providers at the Same Location NPPES 12

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

Counselor (Addiction (Substance Use Disorder))
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Registered Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Licensed Practical Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Licensed Practical Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Registered Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Licensed Practical Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Licensed Practical Nurse
22026 20TH AVE SE STE 101
BOTHELL, WA 98021
Counselor (Addiction (Substance Use Disorder))
22026 20TH AVE SE STE 101
BOTHELL, WA 98021

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 Suzanna Shepherd's NPI number?

The NPI number for Suzanna Shepherd is 1780036004. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Suzanna Shepherd located?

Suzanna Shepherd practices at 22026 20th Ave SE Ste 101 Canyon Park Treatment Solutions, Bothell, WA 98021. The listed phone number is (425) 672-7293.

What is Suzanna Shepherd'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 Suzanna Shepherd was last updated on April 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.