Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Carol Sue Kircher-Sampson , OTR CHT

Contractor • Longview, WA

Active NPI 1184726168 Individual Practitioner Female Practitioner
Practice location in NPPES

945 11th Ave, Suite A
Longview, WA 986322555

Call 3605771192 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

945 11th Ave
Suite A

Longview, WA 986322555

Telephone 3605771192
Fax 3605770519
Organization at the Same NPPES Address or Phone
Northwest Psychological Resources Llc Facility NPI 1811079049

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, “Does 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 Longview and Washington

3 active clinicians are listed under Contractor with a practice address in Longview, WA (227 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Addresses are self-reported to NPPES and may be out of date.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 · Report an error.

Specialties & License Numbers Reported to NPPES

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES WA OT00000149

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

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
7681018 (WA)
Other Identifier L&i
06769 (WA)
Other Identifier Regence
K14454 (WA)

Clinicians Sharing This Practice Address or Phone

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

4 listed
NPI 1922128206

Doctor of Psychology (Psy.D.)

Dr. Jan Johnson , PhD

Psychologist - Clinical

NPI 1730285008

Doctor of Philosophy (Ph.D.)

Dr. Stephen Meharg , PhD

Psychologist - Clinical

NPI 1164468609

Doctor of Philosophy (Ph.D.)

Fran Smith , MSW

Social Worker - Clinical

NPI 1215022546

Master of Social Work

Career & Practice History

NPI enumerated September 01, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1184726168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1953 Palisades Terrace Dr

Lake Oswego, OR 970344627

Phone: 5036978654

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.