JOHN RICHARD PEDERSON MS COUNSELING NPI 1992859540

NPI Information

  • NPI: 1992859540
  • Provider Name: JOHN RICHARD PEDERSON, MS COUNSELING
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 15609 SE MILL PLAIN BLVD
    SUITE NUMBER 600
    VANCOUVER, WA
    ZIP 98684
  • Phone: (360) 254-3855

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NPI Details

John Richard Pederson, MS COUNSELING is a mental health counselor in Vancouver, WA. John Richard Pederson, MS COUNSELING NPI is 1992859540. 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:

15609 SE MILL PLAIN BLVD
SUITE NUMBER 600
VANCOUVER, WA
ZIP 98684-905
Phone: (360) 254-3855

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/19/2009.

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
1101YM0800XCounselorMental HealthLH00003463WASHINGTONYes

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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