Shane Van Fossen, CO70013818
NPI 1922986850 · Addiction (Substance Use Disorder) Counselor · Kelso, WA
Shane Van Fossen, CO70013818 is a Addiction (Substance Use Disorder) Counselor provider in Kelso, WA (NPI 1922986850).
Provider details
- NPI number
- 1922986850
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CO70013818
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO70013818 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-08-27
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Shane Van Fossen's NPI number?
- Shane Van Fossen's National Provider Identifier (NPI) is 1922986850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Van Fossen's specialty?
- Shane Van Fossen is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Shane Van Fossen located?
- Shane Van Fossen's practice location on file with NPPES is 305 Pacific Ave S Ste C, Kelso, WA 98626-1638.
- What is Shane Van Fossen's phone number?
- The practice phone number listed in the NPPES registry for Shane Van Fossen is (360) 356-7761.
- Is Shane Van Fossen's NPI active?
- Yes — Shane Van Fossen's NPI (1922986850) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.