SCOTT STURDIVAN NPI 1346698644

NPI Information

  • NPI: 1346698644
  • Provider Name: SCOTT STURDIVAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 401 OLYMPIA AVE NE
    SUITE 345
    RENTON, WA
    ZIP 98056
  • Phone: (425) 529-8367

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NPI Details

Scott Sturdivan is a mental health counselor in Renton, WA. Scott Sturdivan NPI is 1346698644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 OLYMPIA AVE NE
SUITE 345
RENTON, WA
ZIP 98056-117
Phone: (425) 529-8367

The enumeration date for this NPI number is 5/26/2016 and was last updated on 4/11/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CP 00004028WASHINGTONNo
2101YM0800XCounselorMental HealthLH 60740062WASHINGTONYes

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: 3/30/2025

NPI Synchronization or Removal

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