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Active NPI 1245038017 Individual Practitioner Male Practitioner

Derrik Hunter Mattox-Hanson

Counselor • Chehalis, WA

Professional Overview & Biography Verified Profile Summary

Derrik Mattox-Hanson is a registered healthcare professional specializing in Counselor in Chehalis, WA. Practice services are available at 500 SE WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Se Washington Ave

Chehalis, WA 985323058

Telephone 3605078032
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chehalis, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Chehalis, WA (11556 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

CMS Verified: 2025-03-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61605542

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Susan Bosman

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003486598
NPI 1093477291
Whitney Kell

Counselor - Addiction (Substance Use Disorder)

NPI 1265002737
Melinda Close

Counselor - Addiction (Substance Use Disorder)

NPI 1275127573
NPI 1306580568
Andrew Flores

Counselor - Addiction (Substance Use Disorder)

NPI 1609538891

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2025

Registered at 500 SE WASHINGTON AVE, CHEHALIS, WA 985323058 (Tel: 3605078032)

📍
Updated Business Mailing Address March 06, 2025

Registered at PO BOX 141106, SPOKANE VALLEY, WA 992141106 (Tel: 5092325766)

👤
Provider Name / Credentials Updated March 06, 2025

Recorded as DERRIK MATTOX-HANSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2025

Counselor (License #CG61605542 in WA)

🟢
Initial NPI Registration & Enumeration March 06, 2025

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: 1245038017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2025
Last Update: March 06, 2025
Sole Proprietor: No

Mailing Address

Po Box 141106

Spokane Valley, WA 992141106

Phone: 5092325766

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.