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Stephen Marcus Pagan

Counselor β€’ Aberdeen, WA

Active NPI 1205414190 Individual Practitioner Male Practitioner
Practice location in NPPES

2700 Simpson Ave, Ste 101
Aberdeen, WA 98520

Call 3606120012 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2700 Simpson Ave
Ste 101

Aberdeen, WA 98520

Telephone 3606120012
Fax 3605770187

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Aberdeen and Washington

116 active clinicians are listed under Counselor with a practice address in Aberdeen, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Aberdeen

0% of these 116 clinicians have the CMS telehealth indicator.

0% of these 116 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG60929083

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
David Delimont , MA

Counselor - Mental Health

NPI 1043757065

Master of Arts

Harrison Detroja , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154670628

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Christopher Forward , LICSW

Social Worker - Clinical

NPI 1861756033

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 15, 2023

Registered at 2700 SIMPSON AVE, STE 101, ABERDEEN, WA 98520 (Tel: 3606120012)

πŸ“
Updated Business Mailing Address June 15, 2023

Registered at COLUMBIA WELLNESS, PO BOX 1847, LONGVIEW, WA 98632 (Tel: 3603539369)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2023

Counselor (license number reported to NPPES: WA CG60929083)

βœ…
NPI Profile Active March 31, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 31, 2021

Registered at 338 W PIONEER AVE, MONTESANO, WA 985634412 (Tel: 2536865156)

πŸ“
Business Mailing Address (Initial Record) March 31, 2021

Registered at 338 W PIONEER AVE, MONTESANO, WA 985634412 (Tel: 2536865156)

πŸ‘€
Provider Name / Credentials (Initial Record) March 31, 2021

Recorded as STEPHEN PAGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration March 31, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205414190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2021
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

Columbia Wellness, Po Box 1847

Longview, WA 98632

Phone: 3603539369

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.