IndividualActive
Andy Song, BCBA
NPI 1124755954 · Mental Health Counselor · Tacoma, WA
Provider details
- NPI number
- 1124755954
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- License
- MC61300145 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 Broadway Ste 404
Tacoma, WA 98402-4454
Phone: (253) 970-3771
Street-level locationGet directions
Mailing address
100 N Howard St Ste R
Spokane, WA 99201-0508
Additional practice locations (2)
- 14524 Main St Ne Ste 111Duvall, WA 98019-8467Phone: (253) 970-3771
- 4118 S 224th PlKent, WA 98032-8461Phone: (253) 970-3771
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.