Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457841215 Individual Practitioner Male Practitioner

Matthew Lewis Spurlock

Counselor • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Matthew Spurlock is a registered healthcare professional specializing in Counselor in Kelso, WA. Practice services are available at 305 PACIFIC AVE S STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 Pacific Ave S Ste 102

Kelso, WA 986261638

Telephone 5304230203
Fax 3605777904
Associated Practice Facility / Clinic
🏢 Columbia Wellness Facility NPI 1487659579

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Kelso, WA

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

Practicing in Kelso, 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA 60888636

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2104942 (WA)

Secondary Practice Locations

720 Se Washington St

Hillsboro, OR 97123

Phone: 5036480753

Practice Associates & Co-Workers

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

16 Associated Practitioners
Ariel Jones

Counselor - Addiction (Substance Use Disorder)

NPI 1003464355
Cathy Ludahl , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1073982880
Paul Kern , CDAC

Counselor - Addiction (Substance Use Disorder)

NPI 1174972947
James Laporta , CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1184123929
NPI 1194200279

Master of Arts

Larry Tedder , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1376823526

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location November 21, 2019

Registered at 305 PACIFIC AVE S STE 102, KELSO, WA 986261638 (Tel: 5304230203)

📍
Updated Business Mailing Address November 21, 2019

Registered at PO BOX 1847, LONGVIEW, WA 986328140 (Tel: 3604230203)

📍
Updated Practice Location February 04, 2019

Registered at 309 OAK ST, KELSO, WA 98632 (Tel: 5304230203)

📍
Updated Business Mailing Address February 04, 2019

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Counselor (License #60888636 in WA)

📍
Updated Practice Location July 11, 2018

Registered at 720 SE WASHINGTON ST, HILLSBORO, OR 97123 (Tel: 5036480753)

📍
Updated Business Mailing Address July 11, 2018

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2018

Registered at 720 SE WASHINGTON ST, HILLSBORO, OR 971234230 (Tel: 5036480753)

📍
Updated Business Mailing Address May 16, 2018

Registered at 1027 E BURNSIDE ST, PORTLAND, OR 972141328 (Tel: 5032398400)

👤
Provider Name / Credentials Updated May 16, 2018

Recorded as MATTHEW SPURLOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Counselor

🟢
Initial NPI Registration & Enumeration May 16, 2018

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: 1457841215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2018
Last Update: November 21, 2019
Sole Proprietor: No

Mailing Address

Po Box 1847

Longview, WA 986328140

Phone: 3604230203

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.