Active NPI
Steve Raymond Fenton
- Peer Specialist
- Centralia, WA
National Provider Identifier
1437041019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 727 N Tower Ave
Centralia, WA 98531-4754 - Phone
- (360) 827-0264
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
727 N Tower Ave
Centralia, WA 98531-4754
Mailing address
PO Box 144
Centralia, WA 98531-0144
Phone (360) 827-0264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gather Church | Current | Accepting new patients |
Locations
727 N Tower Ave
Centralia, WA 98531
Phone (360) 557-2027
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Centralia, WA
- NPI 1699365890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1437041019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985310144",
"telephone_number": "360-827-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N TOWER AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985314754",
"telephone_number": "360-827-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "STEVE",
"middle_name": "RAYMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.