MR. SCOTT DARREL AMUNDSEN (NPI# 1083991624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083991624 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DARREL AMUNDSEN |
| Credential | CDP |
| Practice Address |
1100 S 2nd St Mount Vernon WA 98273-4209 |
| Mailing Address |
Po Box 3810 Everett WA 98213 |
| Practice Telephone | 3604193500 |
| Mailing Telephone | 4253498359 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60237971 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1100 S 2ND ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787784 | Troy H Husband | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2006-06-12 |
| 1003463886 | John Camacho | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-08-26 |
| 1891358446 | Amanda Timm | Behavior Technician | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-04-18 |
| 1790243467 | Sonia Sleiman | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-03-12 |
| 1699232116 | Gina Lillie-ann Nisbet | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2019-02-21 |
| 1194296798 | Andrew Reed Dickens | Peer Specialist | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-12-08 |
| 1053886671 | Michelle Rachel Lamore | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-10-10 |
| 1316421639 | David Bradshaw | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-09-21 |
| 1245726959 | Rachael R Mishanec | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-07-05 |
| 1780173369 | Tammie Marie Bennett | Case Manager/Care Coordinator | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210607 | Lindsay Susan Smith | Counselor | 401 W High St, Mount Vernon, OH 43050-2324 | 2018-10-02 |
| 1962932640 | Megan J Pickard | Counselor | 1601 E College Way # 1, Mount Vernon, WA 98273-5612 | 2017-06-15 |
| 1659611051 | Richard Rudolph Jones | Counselor | 110 No. 10th. Ave. Apt.#7x, Mount Vernon, NY 10551 | 2013-02-21 |
| 1144569948 | Paulette Erin Nathan | Counselor | 332 Hayward Ave, Mount Vernon, NY 10552-1607 | 2013-02-14 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1831464346 | Tyler John Hitzfield | Counselor | 120 S Norton St, Mount Vernon, OH 43050-2313 | 2012-03-16 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1275835373 | Ronald M. Carlos | Counselor | 30 Fleetwood Ave, #1-g, Mount Vernon, NY 10552-2865 | 2010-11-22 |
| 1013234673 | Bobbi Jo Milbrandt | Counselor | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2010-04-22 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on MR. SCOTT DARREL AMUNDSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.