1. Home
  2. Directory
  3. Washington
  4. Kelso
  5. Counselor
  6. NPI Profile

SHANE AARON VAN FOSSEN CO70013818
NPI 1922986850
Counselor - Addiction (Substance Use Disorder) in Kelso, WA

Active since August 27, 2025
305 PACIFIC AVE S STE C, KELSO, WA 98626(360) 356-7761(360) 219-6843 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Aaron Van Fossen Co70013818 NPPES

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

SHANE AARON VAN FOSSEN CO70013818 (NPI 1922986850) is an individual addiction (substance use disorder) provider in Kelso, Washington, licensed in Washington (CO70013818) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1922986850
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE AARON VAN FOSSENCredential: CO70013818
Location Address305 PACIFIC AVE S STE CKelso, WA 98626-1638
Mailing Address305 Pacific Ave S Ste CKelso, WA 98626-1638 · (360) 356-7761 · Fax (360) 425-5990
Phone(360) 356-7761
Fax(360) 219-6843
Sole ProprietorYes
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1922986850 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 · CO70013818
305 PACIFIC AVE S STE C, Kelso, WA 98626
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MR. THOMAS RICHARD MCBRIDE
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
ROSALIE WRIGHT LPN/LVN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
DEBORAH ANN HARDEN
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 425-5378
AIMEE D JOHNSON LPN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 808-1916
AMY E KYLE
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 795-5008
MRS. CARRERA LEIGH HOBSON
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 644-1047
CURTIS CLELL WHITNEY LPN
Licensed Practical Nurse
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (603) 425-5378
MRS. MINDY LORRAINE TAITANO
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE C
KELSO, WA 98626
Cowlitz County (360) 356-7775

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 Shane Van Fossen's NPI number?

The NPI number for Shane Van Fossen is 1922986850. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Shane Van Fossen located?

Shane Van Fossen practices at 305 Pacific Ave S Ste C, Kelso, WA 98626. The listed phone number is (360) 356-7761.

What is Shane Van Fossen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Van Fossen was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.