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

ROBERTA D. BRYAN SUDP, AAC, CPC
NPI 1871054973
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since March 29, 2019
1956 NE KRESKY AVE, CHEHALIS, WA 98532(360) 740-4380 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Jul 18, 2022, Feb 24, 2022 (3 updates tracked since 2022).

About Roberta D. Bryan Sudp, Aac, Cpc NPPES

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

ROBERTA D. BRYAN SUDP, AAC, CPC (NPI 1871054973) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CP60956223) and active in the NPI registry since March 2019. She maintains a secondary practice location in Shelton.

NPPES Registry Identity

NPI1871054973
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameROBERTA D. BRYANCredential: SUDP, AAC, CPC
Location Address1956 NE KRESKY AVEChehalis, WA 98532-2307
Mailing AddressPo Box 59Chehalis, WA 98532-0059
Phone(360) 740-4380
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1871054973 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 · CP60956223
Also ListedPeer SpecialistTaxonomy 175T00000X · License CG60505628 (WA)
1956 NE KRESKY AVE, Chehalis, WA 98532
Open in Google Maps ↗

Secondary Practice Location 1

Location 1506 W Franklin StShelton, WA 98584-3517 · Phone (360) 427-5232 · Fax (360) 427-5006

Other Identifiers 1

Medicaid2130811WA

Other Providers at the Same Location NPPES 15

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

JENNIFER LYNN WELD
Case Manager/Care Coordinator
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
CHRISTINE DICKINSON AAC, CPC
Peer Specialist
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
DAVID C BLUM MBA, SUDPT
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
JULIE GARCIA
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
JOSHUA CHRISTENSEN AAS, SUDP
Counselor (Addiction (Substance Use Disorder))
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
CLAUDIA GEORGINA REYES CORRALES SUDPT
Counselor
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
NEW DIRECTIONS COUNSELING, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380
KRYSTAL BONDS SUDPT
Counselor
1956 NE KRESKY AVE
CHEHALIS, WA 98532
Lewis County (360) 740-4380

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 Roberta Bryan's NPI number?

The NPI number for Roberta Bryan is 1871054973. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Roberta Bryan located?

Roberta Bryan practices at 1956 NE Kresky Ave, Chehalis, WA 98532. The listed phone number is (360) 740-4380.

What is Roberta Bryan'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 Roberta Bryan was last updated on May 4, 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.