JOHNATHAN SAMUEL DETWILER LMHC
NPI 1558829457
Counselor - Mental Health in Vancouver, WA

Active since March 10, 2019
816 NE 87TH AVE, VANCOUVER, WA 98664(360) 566-4432 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2020, Apr 19, 2019, Mar 10, 2019 (3 updates tracked since 2019).

About Johnathan Samuel Detwiler Lmhc NPPES

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

JOHNATHAN SAMUEL DETWILER LMHC (NPI 1558829457) is an individual mental health provider in Vancouver, Washington, licensed in Washington (LH61055500) and active in the NPI registry since March 2019. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1558829457
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHNATHAN SAMUEL DETWILERCredential: LMHC
Location Address816 NE 87TH AVEVancouver, WA 98664-1991
Mailing Address3124 Ne 162nd AvePortland, OR 97230-5524 · (260) 348-9872
Sole ProprietorNo
Enumeration DateMarch 10, 2019
Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1558829457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in WA · LH61055500 Licensed in IN · 39003508A Licensed in OR · C5666
816 NE 87TH AVE, Vancouver, WA 98664

Secondary Practice Location 1

Location 11500 NE Irving St Ste 440Portland, OR 97232-4208 · Phone (541) 517-9733

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
816 NE 87TH AVE
VANCOUVER, WA 98664
Social Worker
816 NE 87TH AVE
VANCOUVER, WA 98664
Counselor
816 NE 87TH AVE
VANCOUVER, WA 98664
Counselor (Mental Health)
816 NE 87TH AVE
VANCOUVER, WA 98664

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 Johnathan Detwiler's NPI number?

The NPI number for Johnathan Detwiler is 1558829457. It was assigned to this individual provider in the NPPES registry on March 10, 2019.

Where is Johnathan Detwiler located?

Johnathan Detwiler practices at 816 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (360) 566-4432.

What is Johnathan Detwiler's specialty?

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

What insurance does Johnathan Detwiler accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Johnathan Detwiler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnathan Detwiler was last updated on September 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.