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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS FISH CPSS
NPI 1407619158
Peer Specialist in Longview, WA

Active since February 05, 2024
910 16TH AVE STE 120, LONGVIEW, WA 98632(360) 200-5419(844) 612-6673 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2026, Feb 5, 2024 (2 updates tracked since 2024).

About Nicholas Fish Cpss NPPES

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

NICHOLAS FISH CPSS (NPI 1407619158) is an individual peer specialist in Longview, Washington, licensed in Washington (PR70090900) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1407619158
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNICHOLAS FISHCredential: CPSS
Location Address910 16TH AVE STE 120Longview, WA 98632-2374
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Phone(360) 200-5419
Fax(844) 612-6673
Sole ProprietorNo
Enumeration DateFebruary 5, 2024
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1407619158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in WA · PR70090900✔ Licensed in WA · CG61510612
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
910 16TH AVE STE 120, Longview, WA 98632
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Other Identifiers 1

Medicaid2276550WA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY RAMSAY SUDP
Counselor (Addiction (Substance Use Disorder))
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CHAYLA A.M. BECKER AAC
Peer Specialist
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
LATISHA FILZEN R-AAC, CPSST
Peer Specialist
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
KATHERINE LORA BLACKSTONE ALLEN LICSW, MHP, CMHS
Social Worker (Clinical)
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
MICHAEL P LEACH AAC, CPC
Peer Specialist
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CHRISTINA STOPS CPC
Peer Specialist
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
CORY BRAGG BA, AAC
Counselor
910 16TH AVE STE 120
LONGVIEW, WA 98632
Cowlitz County (360) 200-5419
LAURA SHELLMAN PMHNP-BC, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
910 16TH AVE STE 120
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 Nicholas Fish's NPI number?

The NPI number for Nicholas Fish is 1407619158. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Nicholas Fish located?

Nicholas Fish practices at 910 16th Ave Ste 120, Longview, WA 98632. The listed phone number is (360) 200-5419.

What is Nicholas Fish's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Fish was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.