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Kodee Paul Chase , AAC

Counselor β€’ Longview, WA

Active NPI 1205301017 Individual Practitioner Male Practitioner
Practice location in NPPES

748 14th Avenue
Longview, WA 98632

Call 3602005419 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

748 14th Avenue

Longview, WA 98632

Telephone 3602005419
Fax 3602006736
Organization at the Same NPPES Address or Phone
Community House On Broadway Facility NPI 1013575588

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

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 Longview and Washington

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0.6% of these 318 clinicians have the CMS telehealth indicator.

0.9% of these 318 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: 2023-09-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61003691

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
2116380 (WA)

Career & Practice History Timeline

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

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 18, 2023

Recorded as KODEE CHASE, AAC

πŸ“
Updated Practice Location October 29, 2020

Registered at 748 14TH AVENUE, LONGVIEW, WA 98632 (Tel: 3602005419)

πŸ“
Updated Business Mailing Address October 29, 2020

Registered at PO BOX 2394, LONGVIEW, WA 98632 (Tel: 3602005419)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Counselor (license number reported to NPPES: WA CG61003691)

πŸ“
Updated Business Mailing Address December 17, 2019

Registered at 748 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3602005419)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Counselor

βœ…
NPI Profile Active October 08, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2018

Registered at 8282 28TH CT NE STE A, LACEY, WA 985167162 (Tel: 3609156868)

πŸ“
Business Mailing Address (Initial Record) October 08, 2018

Registered at 8282 28TH CT NE STE A, LACEY, WA 985167162

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2018

Recorded as KODEE CHASE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2018

Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 08, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205301017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2018
Last Update: September 18, 2023
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 98632

Phone: 3602005419

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.