MR. DONALD PAUL CANTRELL – Mental Health Counselor, NPI 1164655478

MR. DONALD PAUL CANTRELL is a healthcare provider. based in Long beach, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LH00011342 (WA). The NPI Number for MR. DONALD PAUL CANTRELL is 1164655478

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD PAUL CANTRELL
NPI
1164655478
Phone
(360) 642-3787
Address
2204 PACIFIC AVE N
Enumeration Date
2 September 2009
Last Update Date
2 September 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605749303
Graduation Year
1994 (32 years ago)
PAC ID
8729507397
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20250527003413
Address ID
WA986863270VA2103XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

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Provider Addresses for MR. DONALD PAUL CANTRELL

  • Pacific Avenue North, Long Beach, Pacific County, Washington, 98631, United States

    LONG BEACH, WA 986313300

    Phone: (360) 642-3787

    Fax: (360) 642-2096

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250527003413IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98631)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
-OR
Clinical PsychologistOR
Clinical Social WorkerOR
Mental Health CounselorTX
Clinical Social WorkerCA
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

What identifier follows MR. DONALD PAUL CANTRELL across health systems?
The NPI 1164655478 uniquely identifies MR. DONALD PAUL CANTRELL in U.S. healthcare data.
Is MR. DONALD PAUL CANTRELL currently accepting referrals based on NPI status?
Registry metadata lists MR. DONALD PAUL CANTRELL as active.
What does the directory say MR. DONALD PAUL CANTRELL does?
Insurance directories may phrase it differently, but here MR. DONALD PAUL CANTRELL maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. DONALD PAUL CANTRELL?
MR. DONALD PAUL CANTRELL shows a connection to Long Beach, Washington in registry-derived data.
Who maintains MR. DONALD PAUL CANTRELL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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