MR. BRENT WILLIAM MICHAUD
NPI 1598286791
Counselor - Addiction (Substance Use Disorder) in Centralia, WA

Active since June 28, 2017
1616 S. GOLD ST. #4, CENTRALIA, WA 98531(360) 807-4929(360) 807-4160 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2020, Jun 28, 2017 (2 updates tracked since 2017).

About Mr. Brent William Michaud NPPES

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

MR. BRENT WILLIAM MICHAUD (NPI 1598286791) is an individual addiction (substance use disorder) provider in Centralia, Washington, licensed in Washington (CP60944835) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1598286791
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRENT WILLIAM MICHAUD
Location Address1616 S. GOLD ST. #4Centralia, WA 98531-0001
Mailing AddressPo Box 2394Longview, WA 98632 · (360) 200-5419 · Fax (360) 200-6736
Fax(360) 807-4160
Sole ProprietorNo
Enumeration DateJune 28, 2017
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1598286791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60944835

Other Identifiers 1

Medicaid2130057WA

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
1616 S. GOLD ST. #4
CENTRALIA, WA 98531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598286791, enumerated as an "individual" on June 28, 2017.

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 101YA0400X and a focus in Addiction (Substance Use Disorder).

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