Michael Spain is a Mental Health Counselor practicing in Centralia, Washington. The National Provider Identifier (NPI) is #1972063063, which was assigned on March 23, 2019, and the registration record was last updated on February 11, 2025. The practitioner's main practice location is at 2428 W Reynolds Ave, Centralia, WA 98531-4554; the contact telephone number is 3603309044. The primary taxonomy of Michael Spain is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Michael Spain is licensed to practice in the state of Washington (#60942160), Washington (#CU61643874).
NPI | 1972063063 |
Entity Type | Individual |
Provider Name | MICHAEL SPAIN |
Other Name |
MICHAEL STEVEN BUAKNECHT (Former Name) |
Gender | Male |
Practice Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
Practice Telephone | 3603309044 |
Mailing Address |
2428 W Reynolds Ave Centralia WA 98531-4554 |
Mailing Telephone | 3603309044 |
Mailing Fax Number | 3602375675 |
Certification Date | 2025-02-11 |
Enumeration Date | 2019-03-23 |
Last Update Date | 2025-02-11 |
Is Sole Proprietor | N |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 101Y00000X | Counselor | 60942160 | WA | ||
Y | 101YM0800X | Counselor | Mental Health | CU61643874 | WA |
Address | Telephone | Fax |
---|---|---|
720 14th Ave, Longview, WA 986322315 | 3604230203 | 3604235086 |
Code | 101YM0800X |
Taxonomy | Mental Health Counselor |
Classification | Counselor |
Specialization | Mental Health |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
Code | 101Y00000X |
Taxonomy | Counselor |
Classification | Counselor |
Grouping | Behavioral Health & Social Service Providers |
Definition: 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. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
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Street Address |
2428 W REYNOLDS AVE |
City | CENTRALIA |
State | WA |
Zip Code | 98531-4554 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Cascade Community Healthcare | 2428 W Reynolds Ave, Centralia, WA 98531 | Family Medicine Physician | 2023-05-12 |
Ryan Matthew Ames | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Peer Specialist | 2025-04-22 |
Lizzette Guadalupe Vargas | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Nurse's Aide | 2023-09-07 |
Austin Beau Petterson | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Counselor | 2025-08-21 |
Monica Honey | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Registered Nurse | 2020-05-27 |
Crystal Pauline Wade | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Counselor | 2024-07-09 |
Nicole Jean Miller · Nicole Jean Garza | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Counselor | 2025-08-05 |
Danielle May Taylor | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Addiction (Substance Use Disorder) Counselor | 2023-06-14 |
Taylor Marlane Mclynne | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Counselor | 2023-05-02 |
Darianne Renee Johnson | 2428 W Reynolds Ave, Centralia, WA 98531-4554 | Counselor | 2025-02-18 |
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Wyatt Thomas Greene | 3510 Steelhammer Dr, Centralia, WA 98531-1532 | Counselor | 2025-04-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |