Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164379251 Individual Practitioner Female Practitioner

Dora Sprague , CPSST

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dora Sprague, CPSST is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 1340 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1340 12th Ave

Longview, WA 986323820

Telephone 3602005419
Fax 8446126673
Associated Practice Facility / Clinic
🏢 Community House On Broadway Facility NPI 1467855353

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Longview, WA

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

Practicing in Longview, 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: 2026-07-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA PE70051146

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License WA CG70068192

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2382671 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Felicity Wolford

Peer Specialist

NPI 1003779497
NPI 1013307891
Rachel Gaines , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013655760
NPI 1023905783

Bachelor of Science, RAAC

NPI 1043192180

Bachelor of Science, RAAC

NPI 1043844095

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated July 06, 2026

Recorded as DORA SPRAGUE, CPSST

NPI Profile Active March 16, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2026

Registered at 1340 12TH AVE, LONGVIEW, WA 986323820 (Tel: 3602005419)

📍
Updated Business Mailing Address March 16, 2026

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

👤
Provider Name / Credentials Updated March 16, 2026

Recorded as DORA SPRAGUE, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2026

Peer Specialist (License #CG70068192 in WA)

🟢
Initial NPI Registration & Enumeration March 16, 2026

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: 1164379251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2026
Last Update: July 06, 2026
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.