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ANDREYA FOUNTAIN SUDPT
NPI 1821691130
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since November 18, 2020
2156 PACIFIC AVE, TACOMA, WA 98402(253) 200-0505(253) 200-0636 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andreya Fountain Sudpt NPPES

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

ANDREYA FOUNTAIN SUDPT (NPI 1821691130) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (60985197) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1821691130
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANDREYA FOUNTAINCredential: SUDPT
Location Address2156 PACIFIC AVETacoma, WA 98402-3004
Mailing Address2156 Pacific AveTacoma, WA 98402-3004 · (253) 200-0505 · Fax (253) 200-0636
Phone(253) 200-0505
Fax(253) 200-0636
Sole ProprietorNo
Enumeration DateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1821691130 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 · 60985197
2156 PACIFIC AVE, Tacoma, WA 98402
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Other Providers at the Same Location NPPES 8

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

MERISSA PATRICE MAYERS MEDICAL ASSISTANT
Local Education Agency (LEA)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 207-4000
BAYVIEW RECOVERY LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
ANGELA FRYE LMHC, CDP
Counselor (Mental Health)
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
STEPHANIE H MICHELSON SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
MURTATHA ALBERMANY SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
DUANE E SERRANO CO61200074
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
LUIS MEDINA SUDPT
Counselor (Addiction (Substance Use Disorder))
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 200-0505
JORDYN LUMBY CPC
Peer Specialist
2156 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 785-9218

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 Andreya Fountain's NPI number?

The NPI number for Andreya Fountain is 1821691130. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Andreya Fountain located?

Andreya Fountain practices at 2156 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 200-0505.

What is Andreya Fountain'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 Andreya Fountain was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.