Active NPI
Halcyon Counseling and Consulting, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1043080807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HALCYON COUNSELING AND CONSULTING, LLC
- Practice address
- 10818 NE Coxley Dr Ste O
Vancouver, WA 98662-6163 - Phone
- (360) 559-1468
- NPI assigned
- Jan 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Gavrishova
- Title
- Owner/Practitioner
- Phone
- (360) 559-1468
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
10818 NE Coxley Dr Ste O
Vancouver, WA 98662-6163
Mailing address
10818 NE Coxley Dr Ste O
Vancouver, WA 98662-6163
Phone (360) 559-1468
National Provider Directory
National Provider DirectoryLocations
10818 NE Coxley Dr
Ste O
Vancouver, WA 98662
Phone (360) 559-1468
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
- NPI 1073809091
-
- Clinical Social Worker
- Toledo, WA
- NPI 1942540554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1043080807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10818 NE COXLEY DR STE O",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626163",
"telephone_number": "360-559-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10818 NE COXLEY DR STE O",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626163",
"telephone_number": "360-559-1468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALCYON COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "GAVRISHOVA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "360-559-1468"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.