1. Home
  2. Directory
  3. Washington
  4. Kelso
  5. Counselor
  6. NPI Profile

AUTUMN IRVINE SUDP, CAAR
NPI 1871029140
Counselor in Kelso, WA

Active since May 05, 2017
404 W MAIN ST, KELSO, WA 98626(360) 423-2806(360) 423-5128 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Irvine Sudp, Caar NPPES

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

AUTUMN IRVINE SUDP, CAAR (NPI 1871029140) is an individual counselor in Kelso, Washington, licensed in Washington (CG61313331) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1871029140
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAUTUMN IRVINECredential: SUDP, CAAR
Location Address404 W MAIN STKelso, WA 98626-1118
Mailing Address913 Olson Rd Apt ALongview, WA 98632-5467 · (360) 270-1158
Phone(360) 423-2806
Fax(360) 423-5128
Sole ProprietorNo
Enumeration DateMay 5, 2017
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1871029140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG61313331
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP 60188084 (WA)
404 W MAIN ST, Kelso, WA 98626
Open in Google Maps ↗

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.

MELODY KAY LORENZO
Psychologist (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
APRIL MARIE BASZLER
Counselor (Mental Health)
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
BRITTANY LYNN BIRTCHET CDPT
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
STACY RAEANN WIRKKALA SUDPT
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
AWAKENINGS, INC
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
CORTNEY ANN BAKER CPC
Peer Specialist
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
MEGHAN DEGALLIER MSW, MHP, LICSWA
Counselor (Mental Health)
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
BREANNA SLAPE-LORENZO
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806

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 Autumn Irvine's NPI number?

The NPI number for Autumn Irvine is 1871029140. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Autumn Irvine located?

Autumn Irvine practices at 404 W Main St, Kelso, WA 98626. The listed phone number is (360) 423-2806.

What is Autumn Irvine's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Autumn Irvine was last updated on February 28, 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.