SAM J MAILHOT
NPI 1699239202
Counselor - Mental Health in Centralia, WA

Active since January 28, 2019
1641 KRESKY AVE, CENTRALIA, WA 98531(360) 506-0058 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2019, Jan 28, 2019 (2 updates tracked since 2019).

About Sam J Mailhot NPPES

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

SAM J MAILHOT (NPI 1699239202) is an individual mental health provider in Centralia, Washington, licensed in Washington (60901352) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1699239202
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAM J MAILHOT
Location Address1641 KRESKY AVECentralia, WA 98531-8912
Mailing Address2428 W Reynolds AveCentralia, WA 98531-4554 · (360) 330-9044
Sole ProprietorNo
Enumeration DateJanuary 28, 2019
Last NPPES UpdateNovember 15, 20192 updates tracked since enumeration
NPI 1699239202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · 60901352
1641 KRESKY AVE, Centralia, WA 98531

Other Identifiers 1

Medicaid1619068624WA

Other Providers at the Same Location NPPES 2

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

Peer Specialist
1641 KRESKY AVE
CENTRALIA, WA 98531
Counselor
1641 KRESKY AVE
CENTRALIA, WA 98531

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 Sam Mailhot's NPI number?

The NPI number for Sam Mailhot is 1699239202. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Sam Mailhot located?

Sam Mailhot practices at 1641 Kresky Ave, Centralia, WA 98531. The listed phone number is (360) 506-0058.

What is Sam Mailhot's specialty?

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

When was this NPI record last updated?

The NPPES record for Sam Mailhot was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.