Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Matthew Lewis Spurlock

Counselor β€’ Kelso, WA

Active NPI 1457841215 Individual Practitioner Male Practitioner
Practice location in NPPES

305 Pacific Ave S Ste 102
Kelso, WA 986261638

Call 5304230203 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

305 Pacific Ave S Ste 102

Kelso, WA 986261638

Telephone 5304230203
Fax 3605777904
Organization at the Same NPPES Address or Phone
Columbia Wellness Facility NPI 1487659579

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hillsboro, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

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 Kelso and Washington

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kelso

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA 60888636

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2104942 (WA)

Secondary Practice Locations

720 Se Washington St

Hillsboro, OR 97123

Phone: 5036480753

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location November 21, 2019

Registered at 305 PACIFIC AVE S STE 102, KELSO, WA 986261638 (Tel: 5304230203)

πŸ“
Updated Business Mailing Address November 21, 2019

Registered at PO BOX 1847, LONGVIEW, WA 986328140 (Tel: 3604230203)

πŸ“
Updated Practice Location February 04, 2019

Registered at 309 OAK ST, KELSO, WA 98632 (Tel: 5304230203)

πŸ“
Updated Business Mailing Address February 04, 2019

Registered at 921 14TH AVE, LONGVIEW, WA 98632 (Tel: 3604230203)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Counselor (license number reported to NPPES: WA 60888636)

πŸ“
Updated Practice Location July 11, 2018

Registered at 720 SE WASHINGTON ST, HILLSBORO, OR 97123 (Tel: 5036480753)

πŸ“
Updated Business Mailing Address July 11, 2018

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

βœ…
NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2018

Registered at 720 SE WASHINGTON ST, HILLSBORO, OR 971234230 (Tel: 5036480753)

πŸ“
Business Mailing Address (Initial Record) May 16, 2018

Registered at 1027 E BURNSIDE ST, PORTLAND, OR 972141328 (Tel: 5032398400)

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2018

Recorded as MATTHEW SPURLOCK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Counselor

🟒
Initial NPI Registration & Enumeration May 16, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1457841215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2018
Last Update: November 21, 2019
Sole Proprietor: No

Mailing Address

Po Box 1847

Longview, WA 986328140

Phone: 3604230203

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.