Active NPI
Mark Christopher Meadows
- Mental Health Counselor
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61416295
- Practice address
- 945 11TH Ave Ste B
Longview, WA 98632-2555 - Phone
- (350) 414-8600
- NPI assigned
- Aug 19, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61416295 | WA | Primary |
Addresses
Primary practice location
945 11TH Ave Ste B
Longview, WA 98632-2555
Mailing address
945 11TH Ave Ste B
Longview, WA 98632-2555
Other practice location 1
1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509
Phone (360) 619-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228003724 | WA | Practitioner - Mental Health Counselor | 0648615757 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Real Life Counseling PLLC
Practice addresses (Care Compare)
1498 SE Tech Ctr PL
Suite 300
Vancouver, WA 98683-5509
Phone (360) 619-2226
2501 NE 134TH St
Suite 201
Vancouver, WA 98686-3028
Phone (360) 619-2226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Life Community Behavioral Health PLLC | Mental Health | Current | Accepting new patients |
Locations
1498 SE Tech Center Pl
Ste 180
Vancouver, WA 98683
Phone (360) 200-8670
3606 Main St
Ste 202
Vancouver, WA 98663
Phone (360) 695-7699
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Vancouver, WA
- NPI 1952063265
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1831865716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 11TH AVE STE B",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 11TH AVE STE B",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322555",
"telephone_number": "350-414-8600"
}
],
"practiceLocations": [
{
"address_1": "1498 SE Tech Center Pl Ste 300",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986835509",
"country_code": "US",
"telephone_number": "360-619-2226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADOWS",
"first_name": "MARK",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61416295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.