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Ann Marie Shoddy , AAC, CPC, CDPT, BAE

Peer Specialist β€’ Longview, WA

Active NPI 1225515844 Individual Practitioner Female Practitioner
Practice location in NPPES

1302 Commerce Ave
Longview, WA 986323096

Call 3604232806 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

1302 Commerce Ave

Longview, WA 986323096

Telephone 3604232806
Organization at the Same NPPES Address or Phone
Awakenings, Inc Facility NPI 1275245722

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

105 active clinicians are listed under Peer Specialist with a practice address in Longview, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 105 clinicians have the CMS telehealth indicator.

0% of these 105 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: 2026-04-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CG60858312

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA CG60858312
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WA CO60823685
Case Management

NUCC Taxonomy Code: 251B00000X

License # reported to NPPES WA CG60858312

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

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

Career & Practice History Timeline

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

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Peer Specialist (license number reported to NPPES: WA CG60858312)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Case Management (license number reported to NPPES: WA CG60858312)

πŸ“
Updated Practice Location May 15, 2025

Registered at 1302 COMMERCE AVE, LONGVIEW, WA 986323096 (Tel: 3604232806)

πŸ“
Updated Business Mailing Address May 15, 2025

Registered at 1302 COMMERCE AVE, LONGVIEW, WA 986323096 (Tel: 3604232806)

βœ…
NPI Profile Active July 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 26, 2018

Registered at 1616 S GOLD ST STE 4, CENTRALIA, WA 985318930 (Tel: 3608074929)

πŸ“
Business Mailing Address (Initial Record) July 26, 2018

Registered at 1616 S GOLD ST STE 4, CENTRALIA, WA 985318930

πŸ‘€
Provider Name / Credentials (Initial Record) July 26, 2018

Recorded as ANN SHODDY, AAC,CPC,CDPT,BAE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2018

Counselor (license number reported to NPPES: WA CO60823685)

🟒
Initial NPI Registration & Enumeration July 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225515844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2018
Last Update: April 06, 2026
Sole Proprietor: No

Mailing Address

1302 Commerce Ave

Longview, WA 986323096

Phone: 3604232806

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.