Individual provider Active NPI

Cylas Davidson

  • Mental Health Counselor
  • Aberdeen, WA
National Provider Identifier
1902607724
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CAAR.CG.61670963 Issued in WA
Practice address
405 N Park St
Aberdeen, WA 98520-4818
Phone
(360) 660-1011
Fax
(360) 660-1009
NPI assigned
Mar 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CAAR.CG.61670963 WA Primary

Addresses

Primary practice location

405 N Park St
Aberdeen, WA 98520-4818

Mailing address

151 N Market Blvd Ste C
Chehalis, WA 98532-2677
Phone (360) 660-1011

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

State licenses

LicenseStateTypeSpecialty
CAAR.CG.61670963WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Wellness CurrentSince Mar 24, 2025 Accepting new patients
Eugenia Center PastSince Feb 4, 2024 Accepting new patients
Eugenia Center PastSince Jul 17, 2022 Accepting new patients

Locations

2700 Simpson Ave
Ste 101
Aberdeen, WA 98520
Phone (360) 612-0012

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1902607724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD STE C",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-660-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N PARK ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204818",
            "telephone_number": "360-660-1011",
            "fax_number": "360-660-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "CYLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CAAR.CG.61670963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.