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Vincent John Straube

Peer Specialist β€’ Longview, WA

Active NPI 1891074076 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

2011

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Addresses are self-reported to NPPES and may be out of date.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: 2020-10-29
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA CG60716189

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

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA 60716189

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
2136686 (WA)

Career & Practice History Timeline

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

11 Historical Events
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)

πŸ“
Updated Practice Location May 17, 2018

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

πŸ“
Updated Business Mailing Address May 17, 2018

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

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Counselor (license number reported to NPPES: WA 60716189)

βœ…
NPI Profile Active August 05, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 05, 2011

Registered at 1050 E FLAMINGO RD STE E-120, LAS VEGAS, NV 891197427 (Tel: 7027338098)

πŸ“
Business Mailing Address (Initial Record) August 05, 2011

Registered at 1050 E FLAMINGO RD STE E-120, LAS VEGAS, NV 891197427

πŸ‘€
Provider Name / Credentials (Initial Record) August 05, 2011

Recorded as VINCENT STRAUBE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2011

Community Health Worker

🟒
Initial NPI Registration & Enumeration August 05, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891074076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2011
Last Update: October 29, 2020
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.