Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ismael Concepcion Poo

Individual provider Mental Health Counselor · NPI 1508327974

Ismael Concepcion Poo is a Mental Health Counselor in Longview, Washington. Qualified in 2015, 11 years ago. Practices with Providence Health and Services Washington, a 480-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2019
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Practice location Address checks out

748 14th Ave
Longview, WA 98632-2315
Phone: (360) 200-5419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1508327974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address748 14th Ave, Longview, WA 98632-2315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Longview