STAR MARIE JOHNSON SUDP NPI 1235783366

NPI Information

  • NPI: 1235783366
  • Provider Name: STAR MARIE JOHNSON, SUDP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1812 SUMNER AVE
    ABERDEEN, WA
    ZIP 98520
  • Phone: (360) 584-5078

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NPI Details

Star Marie Johnson, SUDP is an addiction (substance use disorder) counselor in Aberdeen, WA. Star Marie Johnson, SUDP NPI is 1235783366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1812 SUMNER AVE
ABERDEEN, WA
ZIP 98520-602
Phone: (360) 584-5078
Fax: (844) 554-3370

The enumeration date for this NPI number is 7/26/2019 and was last updated on 9/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistCG60987591WASHINGTONNo
2101Y00000XCounselorCO61000223WASHINGTONNo
3101YA0400XCounselorAddiction (Substance Use Disorder)CP61505739WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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