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CALEB IDLETT
NPI 1245845593
Counselor in Longview, WA

Active since September 14, 2020
748 14TH AVE, LONGVIEW, WA 98632(360) 200-5419(360) 200-6736 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2020, Sep 14, 2020 (2 updates tracked since 2020).

About Caleb Idlett NPPES

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

CALEB IDLETT (NPI 1245845593) is an individual counselor in Longview, Washington, licensed in Washington (CG1106027) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1245845593
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCALEB IDLETT
Location Address748 14TH AVELongview, WA 98632-2315
Mailing AddressPo Box 2394Longview, WA 98632 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1245845593 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 · CG1106027
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 Identifiers 1

Medicaid2164312WA

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 Caleb Idlett's NPI number?

The NPI number for Caleb Idlett is 1245845593. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Caleb Idlett located?

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

What is Caleb Idlett'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 Caleb Idlett was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.