IndividualActive
Nicole Johnson
NPI 1407414709 · Peer Specialist · Longview, WA
Provider details
- NPI number
- 1407414709
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CG60971822 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
1338 Commerce Ave Ste 303
Longview, WA 98632-3726
Phone: (360) 261-6930
Street-level locationGet directions
Mailing address
Po Box 1447
Chehalis, WA 98532-0378
Additional practice locations (1)
- 1338 Commerce Ave Ste 303Longview, WA 98632-3726Phone: (360) 261-6930
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.