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David Leroy Nicholson-Klingerman , MA LPC, LMHC, CMHS

Counselor - Professional β€’ Long Beach, WA

Active NPI 1598823072 Individual Practitioner Male Practitioner
Practice location in NPPES

2204 Pacific Ave N
Long Beach, WA 986313300

Call 3606423787 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

2204 Pacific Ave N

Long Beach, WA 986313300

Telephone 3606423787
Fax 3606422096
Organization at the Same NPPES Address or Phone
Willapa Counseling Center Facility NPI 1174570949

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

NPI first issued

2006

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 Long Beach and Washington

2 active clinicians are listed under Counselor - Professional with a practice address in Long Beach, WA (589 in Washington).

Addresses are self-reported to NPPES and may be out of date.

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: 2021-06-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C3354
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA LH60571247
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.

9 listed
Jessica Bailey , LCSW

Social Worker - Clinical

NPI 1568770022

Licensed Clinical Social Worker

Dr. Suzan Dula , PsyD, PA-C

Physician Assistant - Medical

NPI 1942583372

Doctor of Psychology (Psy.D.), Physician Assistant (Certified)

Carol Dunning , LICSW

Social Worker - Clinical

NPI 1497013601

Licensed Independent Clinical Social Worker

Kathy Edison

Nurse Practitioner - Psychiatric/Mental Health

NPI 1700521184
Cyndi Holloman , LCSW

Social Worker - Clinical

NPI 1942670898

Licensed Clinical Social Worker

Cheryl Loomis , LICSW, LMP

Social Worker - Clinical

NPI 1992088140

Licensed Independent Clinical Social Worker, Licensed Massage Practitioner

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 08, 2021

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

πŸ“
Updated Business Mailing Address June 08, 2021

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

πŸ‘€
Provider Name / Credentials Updated June 08, 2021

Recorded as DAVID NICHOLSON-KLINGERMAN, MA LPC, LMHC, CMHS

βœ…
NPI Profile Active December 23, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 23, 2016

Registered at 818 COMMERCIAL ST, SUITE 311, ASTORIA, OR 971034547 (Tel: 5034408849)

πŸ“
Business Mailing Address (Initial Record) December 23, 2016

Registered at PO BOX 213, CANNON BEACH, OR 971100213 (Tel: 5034408849)

πŸ‘€
Provider Name / Credentials (Initial Record) December 23, 2016

Recorded as DAVID NICHOLSON-KLINGERMAN, MA LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2016

Counselor (license number reported to NPPES: WA LH60571247)

🟒
Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598823072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: June 08, 2021
Sole Proprietor: No

Mailing Address

2204 Pacific Ave N

Long Beach, WA 986313300

Phone: 3606423787

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.