Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255000360 Deactivated / Inactive NPI Male Practitioner

Joshua L Ryan , AAC, CPC

Peer Specialist • Longview, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joshua Ryan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 10, 2021
NPI Deactivation Date May 21, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Joshua Ryan, AAC, CPC was a registered Peer Specialist practicing in Longview, WA. Throughout an active medical career spanning 5 years, Joshua Ryan provided care at the practice location at 1408 12TH AVE until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

1408 12th Ave

Longview, WA 986323822

Telephone 3609983050
Fax 3602006736
Associated Practice Facility / Clinic
🏢 Core Health Facility NPI 1639693781

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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61101225

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

40 Associated Practitioners
Kirt Lane , CPC

Peer Specialist

NPI 1013541341
Rachel Gaines , SUDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013655760
NPI 1043069107

Bachelor of Science, RAAC

NPI 1043844095
NPI 1043919145
NPI 1063933406

Master of Social Work, LICSWA, SUDP

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active September 10, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 10, 2021

Registered at 1408 12TH AVE, LONGVIEW, WA 986323822 (Tel: 3609983050)

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Updated Business Mailing Address September 10, 2021

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

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Provider Name / Credentials Updated September 10, 2021

Recorded as JOSHUA RYAN, AAC, CPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Peer Specialist (License #CG61101225 in WA)

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Initial NPI Registration & Enumeration September 10, 2021

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: 1255000360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2021
Last Update: September 10, 2021
Deactivation Date: May 21, 2026

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.