ASHLEY REYNVANN
NPI 1235608449
Counselor in Centralia, WA

Active since November 16, 2018
1616 S. GOLD ST. #4, CENTRALIA, WA 98531(360) 807-4929(360) 807-4160 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2021, Nov 16, 2018 (2 updates tracked since 2018).

About Ashley Reynvann NPPES

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

ASHLEY REYNVANN (NPI 1235608449) is an individual counselor in Centralia, Washington, licensed in Washington (CG60915318) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1235608449
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameASHLEY REYNVANN
Location Address1616 S. GOLD ST. #4Centralia, WA 98531-0001
Mailing AddressPo Box 2394Longview, WA 98632-2315 · (360) 200-5419 · Fax (360) 200-6736
Fax(360) 807-4160
Sole ProprietorNo
Enumeration DateNovember 16, 2018
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1235608449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · CG60915318
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Other Identifiers 1

Medicaid2136930WA

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1616 S. GOLD ST. #4
CENTRALIA, WA 98531
Counselor (Addiction (Substance Use Disorder))
1616 S. GOLD ST. #4
CENTRALIA, WA 98531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235608449, enumerated as an "individual" on November 16, 2018.

The provider is located at 1616 S. GOLD ST. #4 CENTRALIA, WA 98531 and the phone number is (360) 807-4929.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.