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Active NPI 1861147696 Individual Practitioner Male Practitioner

Joshua J Tatum , AAC

Peer Specialist • Chehalis, WA

Professional Overview & Biography Verified Profile Summary

Joshua Tatum, AAC is a registered healthcare professional specializing in Peer Specialist in Chehalis, WA. Practice services are available at 151 N MARKET BLVD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 N Market Blvd Ste C

Chehalis, WA 985322677

Telephone 3602665585
Associated Practice Facility / Clinic
🏢 Eugenia Center Facility NPI 1700411816

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Chehalis, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Chehalis, WA (2660 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: 2022-12-02
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61277356

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Abreana Howerton

Counselor - Mental Health

NPI 1205602521
Amanda Black , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1538941273
Michelle Lockwood

Social Worker

NPI 1558059899
Carol Mcfall

Counselor - Addiction (Substance Use Disorder)

NPI 1750147872
Crystal Myers

Social Worker

NPI 1831770098

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 02, 2022

Registered at 151 N MARKET BLVD STE C, CHEHALIS, WA 985322677 (Tel: 3602665585)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2022

Peer Specialist (License #CG61277356 in WA)

NPI Profile Active February 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2022

Registered at 1126 S GOLD ST, CENTRALIA, WA 985313768 (Tel: 3608074929)

📍
Updated Business Mailing Address February 21, 2022

Registered at PO BOX 2394, LONGVIEW, WA 986328455 (Tel: 3602005419)

👤
Provider Name / Credentials Updated February 21, 2022

Recorded as JOSHUA TATUM, AAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2022

Counselor

🟢
Initial NPI Registration & Enumeration February 21, 2022

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: 1861147696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2022
Last Update: December 02, 2022
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 986328455

Phone: 3602005419

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.