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KENDRA DISSPAIN SUDPT
NPI 1164234795
Counselor in Longview, WA

Active since January 21, 2025
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419(360) 200-6736 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kendra Disspain Sudpt NPPES

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

KENDRA DISSPAIN SUDPT (NPI 1164234795) is an individual counselor in Longview, Washington, licensed in Washington (CO61589685) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1164234795
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENDRA DISSPAINCredential: SUDPT
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1164234795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CO61589685
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
748 14TH AVE, Longview, WA 98632
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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.

MARENA BERISHEV
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
RACHEL A GAINES SUDP
Counselor (Addiction (Substance Use Disorder))
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CASSIDY JOHNSTON
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MISTY DAWN REED AAC, CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KAYLEE MOE CPC
Peer Specialist
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MS. KIMBERLEE MARIE SEALS SUDPT, AAC
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
AMANDA M KERSTETER MC, LMHC, MHP, CMHS
Counselor (Mental Health)
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
BALENDA J FRIEZE
Counselor
748 14TH AVE
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419

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 Kendra Disspain's NPI number?

The NPI number for Kendra Disspain is 1164234795. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Kendra Disspain located?

Kendra Disspain practices at 748 14th Ave, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Kendra Disspain's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kendra Disspain was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.