ANDY SONG BCBA
NPI 1124755954
Counselor - Mental Health in Tacoma, WA

Active since August 02, 2022
950 BROADWAY STE 404, TACOMA, WA 98402(253) 970-3771 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2026, Mar 29, 2025, Aug 2, 2022 (3 updates tracked since 2022).

About Andy Song Bcba NPPES

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

ANDY SONG BCBA (NPI 1124755954) is an individual mental health provider in Tacoma, Washington, licensed in Washington (MC61300145) and active in the NPI registry since August 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124755954
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDY SONGCredential: BCBA
Location Address950 BROADWAY STE 404Tacoma, WA 98402-4454
Mailing Address100 N Howard St Ste RSpokane, WA 99201-0508 · (253) 970-3771
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1124755954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC61300145
Also ListedBehavior AnalystTaxonomy 103K00000X · License BA61252101 (WA)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License BA61252101 (WA)
950 BROADWAY STE 404, Tacoma, WA 98402

Secondary Practice Locations 2

Location 114524 Main St NE Ste 111Duvall, WA 98019-8467 · Phone (253) 970-3771
Location 24118 S 224th PlKent, WA 98032-8461 · Phone (253) 970-3771

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Nurse Practitioner (Psychiatric/Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Nurse Practitioner (Psychiatric/Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Social Worker (Clinical)
950 BROADWAY STE 404
TACOMA, WA 98402
Counselor (Mental Health)
950 BROADWAY STE 404
TACOMA, WA 98402

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 Andy Song's NPI number?

The NPI number for Andy Song is 1124755954. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Andy Song located?

Andy Song practices at 950 Broadway Ste 404, Tacoma, WA 98402. The listed phone number is (253) 970-3771.

What is Andy Song'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 Andy Song was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.