Active NPI
Emili Lynn Fletcher
- Mental Health Counselor
- Issaquah, WA
National Provider Identifier
1003588310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LW60851702
- Practice address
- 160 NE Gilman Blvd
Suite 443
Issaquah, WA 98027 - Phone
- (206) 446-4496
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- 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 | LW60851702 | WA | Primary |
Addresses
Primary practice location
160 NE Gilman Blvd
Suite 443
Issaquah, WA 98027
Mailing address
160 NE Gilman Blvd
Suite 443
Issaquah, WA 98027
Phone (206) 446-4496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-0891380 | Medicaid | WA |
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 |
|---|---|---|---|---|
| I20230404000694 | WA | Practitioner - Clinical Social Worker | 8729453873 | Practice locations: Woodinville, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13901 NE 175TH St
Suite L
Woodinville, WA 98072-8548
Phone (206) 446-4496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emili Fletcher Novel Counseling | Single Specialty | Current | Accepting new patients |
Locations
13901 NE 175th St
Ste L
Woodinville, WA 98072
Phone (206) 446-4496
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Woodinville, WA
- NPI 1164131827
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1003588310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 NE GILMAN BLVD",
"address_2": "SUITE 443",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "206-446-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NE GILMAN BLVD",
"address_2": "SUITE 443",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "206-446-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "EMILI",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LW60851702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46-0891380",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.