NPIMap

Organization Active NPI

Ellison Coaching & Counseling Group

  • Mental Health Counselor
  • Kent, WA
National Provider Identifier
1003206020
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
603 152 746 Issued in WA
Legal business name
ELLISON COACHING & COUNSELING GROUP
Practice address
24437 Russell Rd Ste 230
Kent, WA 98032-4950
Phone
(206) 816-2706
Fax
(253) 236-4107
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Ms. Adair Louise Hasty-VannoyNPI 1770959348
Title
Owner/ Director
Phone
(206) 816-2706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 603 152 746 WA Primary

Addresses

Primary practice location

24437 Russell Rd Ste 230
Kent, WA 98032-4950

Mailing address

PO Box 59284
Renton, WA 98058-2284
Phone (206) 816-2706

Other names 1

  • Life Course Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

24437 Russell Rd
Ste 230
Kent, WA 98032
Phone (206) 816-2706

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1003206020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59284",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980582284",
            "telephone_number": "206-816-2706",
            "fax_number": "253-236-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24437 RUSSELL RD STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324950",
            "telephone_number": "206-816-2706",
            "fax_number": "253-236-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLISON COACHING & COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HASTY-VANNOY",
        "authorized_official_first_name": "ADAIR",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "206-816-2706",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "603 152 746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Course Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Course Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.