IndividualActive
Kendra Disspain, SUDPT
NPI 1164234795 · Counselor · Longview, WA
Kendra Disspain, SUDPT is a Counselor provider in Longview, WA (NPI 1164234795).
Provider details
- NPI number
- 1164234795
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Female
- Sole proprietor
- No
- License
- CO61589685 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
748 14th Ave
Longview, WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Street-level locationGet directions
Mailing address
Po Box 2394
Longview, WA 98632-8455
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Kendra Disspain's NPI number?
- Kendra Disspain's National Provider Identifier (NPI) is 1164234795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Disspain's specialty?
- Kendra Disspain is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kendra Disspain located?
- Kendra Disspain's practice location on file with NPPES is 748 14th Ave, Longview, WA 98632-2315.
- What is Kendra Disspain's phone number?
- The practice phone number listed in the NPPES registry for Kendra Disspain is (360) 200-5419.
- Is Kendra Disspain's NPI active?
- Yes — Kendra Disspain's NPI (1164234795) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.