MR. DONALD PAUL CANTRELL
NPI 1164655478
Counselor - Mental Health in Long Beach, WA

Q: What is Donald Cantrell's NPI number?

The NPI number for Donald Cantrell is 1164655478. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Q: What is Donald Cantrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donald Cantrell was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 02, 2009PECOS EnrolledAccepts Medicare Assignment

2204 PACIFIC AVE N, LONG BEACH, WA 98631(360) 642-3787(360) 642-2096 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Donald Paul Cantrell NPPES

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

MR. DONALD PAUL CANTRELL (NPI 1164655478) is an individual mental health provider in Long Beach, Washington, licensed in Washington (LH00011342) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1164655478

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. DONALD PAUL CANTRELL

Location Address2204 PACIFIC AVE NLong Beach, WA 98631-3300

Mailing Address2204 Pacific Ave NLong Beach, WA 98631-3300 · (360) 642-3787 · Fax (360) 642-2096

Phone(360) 642-3787

Fax(360) 642-2096

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateSeptember 2, 2009

✔ NPI 1164655478 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 · LH00011342

2204 PACIFIC AVE N, Long Beach, WA 98631

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Other Identifiers 1

OtherLH00011342WA · Lh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Donald Paul Cantrell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729507397

PECOS Enrollment IDI20250527003413

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANDREW WALKER

Counselor (Mental Health)