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Active NPI 1114581261 Individual Practitioner Male Practitioner

Nickolas Casey Root , CDP

Counselor - Addiction (Substance Use Disorder) • Chehalis, WA

Professional Overview & Biography Verified Profile Summary

Nickolas Root, CDP is a registered healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) in Chehalis, WA. Practice services are available at 135 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

135 W Main St

Chehalis, WA 985324817

Telephone 3607484339
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
87 Specialists

Practicing in Chehalis, WA (4667 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License WA 60831015

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Brandy Peterson

Counselor - Addiction (Substance Use Disorder)

NPI 1023559861
Troy Achord

Counselor - Addiction (Substance Use Disorder)

NPI 1053845917
Ezra Foss , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1073877155

Nurse Practitioner (Certified)

Makayla Greenwood

Counselor - Mental Health

NPI 1134856008
Jesika Sand

Counselor - Addiction (Substance Use Disorder)

NPI 1144850587
Angela Marquez

Counselor - Mental Health

NPI 1154854727

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2019

Registered at 135 W MAIN ST, CHEHALIS, WA 985324817 (Tel: 3607484339)

📍
Updated Business Mailing Address April 24, 2019

Registered at 135 W MAIN ST, CHEHALIS, WA 985324817 (Tel: 3607484339)

👤
Provider Name / Credentials Updated April 24, 2019

Recorded as NICKOLAS ROOT, CDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Counselor (License #60831015 in WA)

🟢
Initial NPI Registration & Enumeration April 24, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114581261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2019
Last Update: April 24, 2019
Sole Proprietor: Yes

Mailing Address

135 W Main St

Chehalis, WA 985324817

Phone: 3607484339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.