DESTIN RAE MARTINI SUDP
NPI 1902559222
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since January 27, 2022
500 SE WASHINGTON AVE, CHEHALIS, WA 98532(360) 748-4776 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Jan 27, 2022 (2 updates tracked since 2022).

About Destin Rae Martini Sudp NPPES

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

DESTIN RAE MARTINI SUDP (NPI 1902559222) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CO61210725) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1902559222
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDESTIN RAE MARTINICredential: SUDP
Location Address500 SE WASHINGTON AVEChehalis, WA 98532-3058
Mailing Address9474 Lathrop Industrial Dr SwTumwater, WA 98512-1109 · (360) 583-3340 · Fax (360) 322-3804
Sole ProprietorNo
Enumeration DateJanuary 27, 2022
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1902559222 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 · CO61210725
500 SE WASHINGTON AVE, Chehalis, WA 98532

Other Identifiers 1

Medicaid2077844WA

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.

Nurse's Aide
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Nurse Practitioner
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Licensed Practical Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Counselor
500 SE WASHINGTON AVE
CHEHALIS, WA 98532

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 Destin Martini's NPI number?

The NPI number for Destin Martini is 1902559222. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Destin Martini located?

Destin Martini practices at 500 SE Washington Ave, Chehalis, WA 98532. The listed phone number is (360) 748-4776.

What is Destin Martini'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 Destin Martini was last updated on December 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.