1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Counselor
  6. NPI Profile

IVAN DAVID NELSON R-AAC
NPI 1033686795
Counselor - Mental Health in Longview, WA

Active since October 30, 2018
1302 COMMERCE AVE, LONGVIEW, WA 98632(360) 423-2806(360) 423-5128 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, May 20, 2025, Oct 30, 2020 and 2 more (5 updates tracked since 2018).

About Ivan David Nelson R-aac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN DAVID NELSON R-AAC (NPI 1033686795) is an individual mental health provider in Longview, Washington, licensed in Washington (60775408) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1033686795
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIVAN DAVID NELSONCredential: R-AAC
Location Address1302 COMMERCE AVELongview, WA 98632-3096
Mailing Address1302 Commerce AveLongview, WA 98632-3096 · (360) 423-2806 · Fax (360) 423-5128
Phone(360) 423-2806
Fax(360) 423-5128
Sole ProprietorNo
Enumeration DateOctober 30, 2018
Last NPPES UpdateNovember 4, 20255 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1033686795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · 60775408
1302 COMMERCE AVE, Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 1

Medicaid2155913WA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIMIE ALLENE MOGUSH ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 606-4638
MARIA L MIX SUDP
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
ANN MARIE SHODDY AAC,CPC,CDPT,BAE
Peer Specialist
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
DAVID MICHAEL MEYER SUDPT
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
HANNAH J DONAYRI BA, C-AAC
Counselor (Mental Health)
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
DANELLE ANDERSON
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
CHELEENA LYNN SQUIBB BA, AAC
Counselor
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806
DESTINY LYNN HANNA
Counselor (Addiction (Substance Use Disorder))
1302 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 423-2806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Nelson's NPI number?

The NPI number for Ivan Nelson is 1033686795. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Ivan Nelson located?

Ivan Nelson practices at 1302 Commerce Ave, Longview, WA 98632. The listed phone number is (360) 423-2806.

What is Ivan Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ivan Nelson was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.