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STACY RAEANN WIRKKALA SUDPT
NPI 1144973223
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since January 30, 2022
404 W MAIN ST, KELSO, WA 98626(360) 423-2806 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Jan 30, 2022 (2 updates tracked since 2022).

About Stacy Raeann Wirkkala Sudpt NPPES

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

STACY RAEANN WIRKKALA SUDPT (NPI 1144973223) is an individual addiction (substance use disorder) provider in Kelso, Washington, licensed in Washington (CO61077791) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1144973223
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY RAEANN WIRKKALACredential: SUDPT
Location Address404 W MAIN STKelso, WA 98626-1118
Mailing Address190 Grasseth Poston RdLongview, WA 98632-9147 · (360) 703-4251
Phone(360) 423-2806
Sole ProprietorYes
Enumeration DateJanuary 30, 2022
Last NPPES UpdateJuly 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1144973223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61077791
404 W MAIN ST, Kelso, WA 98626
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Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Anonymous ***** March 9, 2024

5/5
Stacy has helped me change my entire life for the better. Stacy's caring and assertive nature is commendable. I am grateful to have received her care. I recommend Stacy for anyone suffering with behavioral and substance abuse problems. She's a step above the rest.
Provider 5/5 Office Staff 5/5
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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.

MELODY KAY LORENZO
Psychologist (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
APRIL MARIE BASZLER
Counselor (Mental Health)
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
BRITTANY LYNN BIRTCHET CDPT
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
AWAKENINGS, INC
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
CORTNEY ANN BAKER CPC
Peer Specialist
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
MEGHAN DEGALLIER MSW, MHP, LICSWA
Counselor (Mental Health)
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
BREANNA SLAPE-LORENZO
Counselor (Addiction (Substance Use Disorder))
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 423-2806
KATHLEEN FRANCES LONEY MS MFT
Counselor (Mental Health)
404 W MAIN ST
KELSO, WA 98626
Cowlitz County (360) 751-4379

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 Stacy Wirkkala's NPI number?

The NPI number for Stacy Wirkkala is 1144973223. It was assigned to this individual provider in the NPPES registry on January 30, 2022.

Where is Stacy Wirkkala located?

Stacy Wirkkala practices at 404 W Main St, Kelso, WA 98626. The listed phone number is (360) 423-2806.

What is Stacy Wirkkala's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Wirkkala was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.