IndividualActive
Michael Spain
NPI 1972063063 · Mental Health Counselor · Centralia, WA
Provider details
- NPI number
- 1972063063
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 60942160 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 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
2428 W Reynolds Ave
Centralia, WA 98531-4554
Phone: (360) 330-9044
Street-level locationGet directions
Mailing address
2428 W Reynolds Ave
Centralia, WA 98531-4554
Additional practice locations (1)
- 720 14th AveLongview, WA 98632-2315Phone: (360) 423-0203Fax: (360) 423-5086
Registry dates
- Enumerated
- 2019-03-23
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.