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PHEASANT WEBER
NPI 1174303671
Social Worker in Long Beach, WA

Active since October 02, 2023PECOS 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: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pheasant Weber NPPES

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

PHEASANT WEBER (NPI 1174303671) is an individual social worker in Long Beach, Washington and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174303671
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NamePHEASANT WEBER
Location Address2204 PACIFIC AVE NLong Beach, WA 98631-3300
Mailing Address2204 Pacific Ave NLong Beach, WA 98631-3300
Phone(360) 642-3787
Fax(360) 642-2096
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
✔ NPI 1174303671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2204 PACIFIC AVE N, Long Beach, WA 98631
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pheasant Weber 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 ID3476029430
PECOS Enrollment IDI20260416003454
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.

Medicare Billing Reassignment

Medicare enrollment records show Pheasant Weber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Willapa Counseling Center
0.2 mi
Mental Health (Including Community Mental Health Center)
2204 PACIFIC AVE N
Long Beach, WA 98631
  • Reassigned Medicare billing, Washington enrollment
  • 21 clinicians in this Medicare group
NPI 1174570949 (360) 642-3787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (603) 642-3787
MICHAEL YONKO
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
TAYLOR WARD
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
NICOLE PEARSON
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARCIA LYNN MENDIOLA
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARILYN IDA RAYMER RN
Registered Nurse
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
DR. CARIN A HORNE PH. D., AAC, LMHCA
Counselor
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (319) 242-2481
ANNE MATTSON
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787

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 Pheasant Weber's NPI number?

The NPI number for Pheasant Weber is 1174303671. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Pheasant Weber located?

Pheasant Weber practices at 2204 Pacific Ave N, Long Beach, WA 98631. The listed phone number is (360) 642-3787.

What is Pheasant Weber's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Pheasant Weber enrolled in Medicare?

Yes. Pheasant Weber is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Pheasant Weber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pheasant Weber reassigns Medicare benefits to Willapa Counseling Center (Long Beach, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pheasant Weber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pheasant Weber was last updated on October 2, 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.