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NORTHWEST PSYCHOLOGICAL RESOURCES LLC
NPI 1811079049
Clinical Neuropsychologist in Longview, WA

Active since October 19, 2006
945 11TH AVE, SUITE B, LONGVIEW, WA 98632(360) 414-8600(360) 636-7372 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northwest Psychological Resources Llc NPPES

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

NORTHWEST PSYCHOLOGICAL RESOURCES LLC (NPI 1811079049) is a healthcare organization registered as a clinical neuropsychologist in Longview, Washington and active in the NPI registry since October 2006. The organization lists Elizabeth J Mcnabb, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811079049
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNORTHWEST PSYCHOLOGICAL RESOURCES LLC
Location Address945 11TH AVE, SUITE BLongview, WA 98632-2555
Mailing Address945 11th Ave, Suite BLongview, WA 98632-2555 · (360) 414-8600 · Fax (360) 636-7372
Phone(360) 414-8600
Fax(360) 636-7372
Organization SubpartNo
Authorized OfficialElizabeth J McnabbOffice Manager · (360) 414-8600
Enumeration DateOctober 19, 2006
Last NPPES UpdateDecember 20, 2007
✔ NPI 1811079049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in WA · PY1656
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedCounselorTaxonomy 101Y00000X · License RC49825 (WA), LH4032 (WA)
Also ListedPsychologistTaxonomy 103T00000X · License PY2237 (WA), PY2966 (WA), PY3397 (WA), PY436 (WA), PY3263 (WA), PY2721 (WA), PY1687 (WA), PY2823 (WA), PY1269 (WA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LW4474 (WA), SW40002261 (WA)
945 11TH AVE, Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 4

Medicare PINGAB09107WA
Other0126624WA · Crime Victims
Other0126624WA · Labor And Industries
Other112359WA · Kaiser

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Psychological Resources Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Northwest Psychological Resources LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Mental Health Counselor5
Clinical Psychologist4
Clinical Social Worker4
Nurse Practitioner1

Clinicians, nearest first (14)

Todd Broderius, LICSW
Clinical Social Worker
NPI 1881716942
945 11TH AVE
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Jennifer Harder, LICSW
Clinical Social Worker
NPI 1902962749
945 11TH AVE
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Aniezka Jenissen, LMHC, CDP
Mental Health Counselor
NPI 1144392325
945 11TH AVE STE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Stephen Meharg, PH.D.
Clinical Psychologist
NPI 1164468609
945 11TH AVE SUITE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Duncan Calver, PSYD
Clinical Psychologist
NPI 1407322381
945 11TH AVE STE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Ernest Hensley, MA, LMHC
Mental Health Counselor
NPI 1346960606
945 11TH AVE
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Erica Hunt, PSY.D.
Clinical Psychologist
NPI 1922128206
945 11TH AVE
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Mark Meadows
Mental Health Counselor
NPI 1831865716
945 11TH AVE STE B
Longview, WA 98632
(350) 414-8600
✔ PECOS✔ Accepts MedicareSame address
Gary Sampson, PHD
Clinical Psychologist
NPI 1225149032
945 11TH AVENUE
Longview, WA 98632
(888) 313-8600
✔ PECOSSame address
Jana Schmutz, LMHC
Mental Health Counselor
NPI 1114306867
945 11TH AVE STE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Fran Smith, MSW
Clinical Social Worker
NPI 1215022546
945 11TH AVE SUITE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Tina Taylor, ARNP
Nurse Practitioner
NPI 1306832274
945 11TH AVE STE B
Longview, WA 98632
(360) 414-8600
✔ PECOSSame address
Daniel Shetler, MA, LMHC, MHP
Mental Health Counselor
NPI 1740545359
1710 ALLEN ST
Kelso, WA 98626
(360) 261-7020
✔ PECOS2.2 mi
Pamala Hedglin, MSW
Clinical Social Worker
NPI 1669861308
108 KINDLE ROAD
Randle, WA 98377
(360) 497-3333
✔ PECOS56 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northwest Psychological Resources LLC's NPI number?

The NPI number for Northwest Psychological Resources LLC is 1811079049. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Northwest Psychological Resources LLC located?

Northwest Psychological Resources LLC is located at 945 11th Ave Suite B, Longview, WA 98632. The listed phone number is (360) 414-8600.

What is Northwest Psychological Resources LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Northwest Psychological Resources LLC enrolled in Medicare?

Yes. Northwest Psychological Resources LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Psychological Resources LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Northwest Psychological Resources LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (5), Clinical Psychologist (4) and Clinical Social Worker (4). Of these, 12 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northwest Psychological Resources LLC accept?

Health plans from Ambetter Health, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Northwest Psychological Resources LLC 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 Northwest Psychological Resources LLC was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.