JOHN RICHARD PEDERSON MS COUNSELING
NPI 1992859540
Counselor - Mental Health in Vancouver, WA

Q: What is John Pederson's NPI number?

The NPI number for John Pederson is 1992859540. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is John Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for John Pederson was last updated on December 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 22, 2007

15609 SE MILL PLAIN BLVD, SUITE NUMBER 600, VANCOUVER, WA 98684(360) 254-3855 Get Directions Write a Review

NPPES record last updated: December 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Richard Pederson Ms Counseling NPPES

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

JOHN RICHARD PEDERSON MS COUNSELING (NPI 1992859540) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH00003463) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1992859540

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHN RICHARD PEDERSONCredential: MS COUNSELING

Location Address15609 SE MILL PLAIN BLVD, SUITE NUMBER 600Vancouver, WA 98684-8905

Mailing Address17808 Se 14th StVancouver, WA 98683-7221 · (360) 254-3855

Phone(360) 254-3855

Sole ProprietorYes

Enumeration DateJanuary 22, 2007

Last NPPES UpdateDecember 19, 2009

✔ NPI 1992859540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH00003463

15609 SE MILL PLAIN BLVD, Vancouver, WA 98684

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Other Providers at the Same Location NPPES

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

KAYLA DIANE BIRKELAND M.A.

Counselor

15609 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

Clark County (360) 215-3242

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 John Pederson's NPI number?

The NPI number for John Pederson is 1992859540. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is John Pederson located?

John Pederson practices at 15609 SE Mill Plain Blvd Suite Number 600, Vancouver, WA 98684. The listed phone number is (360) 254-3855.

What is John Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for John Pederson was last updated on December 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.