Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184726168 Individual Practitioner Female Practitioner

Carol Sue Kircher-Sampson , OTR CHT

Contractor • Longview, WA

Professional Overview & Biography Verified Profile Summary

Carol Kircher-Sampson, OTR CHT is a registered healthcare professional specializing in Contractor in Longview, WA. Practice services are available at 945 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

945 11th Ave
Suite A

Longview, WA 986322555

Telephone 3605771192
Fax 3605770519
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Longview, WA

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

Practicing in Longview, WA (234 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WA OT00000149

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7681018 (WA)
Commercial Insurance / Payer ID L&i
06769 (WA)
Commercial Insurance / Payer ID Regence
K14454 (WA)

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1053422014

Doctor of Philosophy (Ph.D.)

Dr. Ibrahim Kurdieh , PhD

Psychologist - Clinical

NPI 1063819175

Doctor of Philosophy (Ph.D.)

Alisha Weaver , LMHCA

Counselor - Mental Health

NPI 1124858659
Dr. Stephen Meharg , PhD

Psychologist - Clinical

NPI 1164468609

Doctor of Philosophy (Ph.D.)

Fran Smith , MSW

Social Worker - Clinical

NPI 1215022546

Master of Social Work

Ernest Hensley , MA, LMHC

Counselor - Mental Health

NPI 1346960606

Master of Arts, Licensed Mental Health Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 945 11TH AVE, SUITE A, LONGVIEW, WA 986322555 (Tel: 3605771192)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1953 PALISADES TERRACE DR, LAKE OSWEGO, OR 970344627 (Tel: 5036978654)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL KIRCHER-SAMPSON, OTR CHT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Contractor (License #OT00000149 in WA)

🟢
Initial NPI Registration & Enumeration September 01, 2006

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: 1184726168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1953 Palisades Terrace Dr

Lake Oswego, OR 970344627

Phone: 5036978654

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.