IndividualActive
Shauna Sprague, SUDP-T
NPI 1528656246 · Addiction (Substance Use Disorder) Counselor · Kelso, WA
Provider details
- NPI number
- 1528656246
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDP-T
- Sex
- Female
- Sole proprietor
- No
- License
- CO61105885 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs 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
404 W Main St
Kelso, WA 98626-1118
Phone: (360) 423-2806
Street-level locationGet directions
Mailing address
404 W Main St
Kelso, WA 98626-1118
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.