Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407619158 Individual Practitioner Male Practitioner

Nicholas Fish , CPSS

Peer Specialist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Nicholas Fish, CPSS is a registered healthcare professional specializing in Peer Specialist in Longview, WA. Practice services are available at 910 16TH AVE STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 16th Ave Ste 120

Longview, WA 986322374

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: 2026-07-30
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA PR70090900

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 CG61510612

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
2276550 (WA)

Secondary Practice Locations

1131 Broadway St

Longview, WA 986323830

Phone: 3609983050

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

9 Historical Events
📍
Updated Practice Location July 30, 2026

Registered at 910 16TH AVE STE 120, LONGVIEW, WA 986322374 (Tel: 3602005419)

👤
Provider Name / Credentials Updated July 30, 2026

Recorded as NICHOLAS FISH, CPSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2026

Peer Specialist (License #PR70090900 in WA)

NPI Profile Active February 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2024

Registered at 1131 BROADWAY ST, LONGVIEW, WA 986323830 (Tel: 3609983050)

📍
Updated Business Mailing Address February 05, 2024

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

👤
Provider Name / Credentials Updated February 05, 2024

Recorded as NICHOLAS FISH, R-AAC, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Peer Specialist (License #CG61510612 in WA)

🟢
Initial NPI Registration & Enumeration February 05, 2024

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: 1407619158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2024
Last Update: July 30, 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.