Real Life Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REAL LIFE COUNSELING PLLC

Practice address

1498 SE Tech Center PL Ste 300
Vancouver, WA 98683-5509

Phone

(360) 619-2226

Fax

(360) 326-9691

NPI assigned

Oct 16, 2015

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Watkins

Title

Credentialing & Contracting Special

Phone

(360) 619-2226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 129

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Lyn Arntzen, LCSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1942722848
  Medicare reassignment Care Compare group
• Tani Barr, LMHC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1194384693
  Medicare reassignment Care Compare group
• Lisa Bernardin, LMHC

  • Mental Health Counselor
  • Poulsbo, WA
  • NPI 1851785471
  Medicare reassignment Care Compare group
• Andrea Davis, MA

  • Marriage & Family Therapist
  • Vancouver, WA
  • NPI 1164870473
  Medicare reassignment Care Compare group
• Justin Farrell, MSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1407052558
  Medicare reassignment Care Compare group
• Adam D Halvorsen, MACP, LMHC, CDP, CPS

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1144580432
  Medicare reassignment Care Compare group
• Darcy Jacquet

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1366067803
  Medicare reassignment Care Compare group
• Stephanie Lyle, LICSW, LCSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1407245202
  Medicare reassignment Care Compare group
• Mark Christopher Meadows

  • Mental Health Counselor
  • Longview, WA
  • NPI 1831865716
  Medicare reassignment Care Compare group
• Eva Mariann Ngare, LCSW

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1265984769
  Medicare reassignment Care Compare group
• Felicia Ostrowski

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1881369148
  Medicare reassignment Care Compare group
• Penny Leanne Vian

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1982054359
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1053782078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835509",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632235",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Main St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986044483",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 NE 134th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863028",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REAL LIFE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING SPECIAL",
        "authorized_official_telephone_number": "360-619-2226"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Raymond, RPH
• Maliheh Razavi, PA-C
• RC Home Care Services, Inc. (Cochran Health Care)
• Casey James Rea, BCC
• Real Life Community Behavioral Health PLLC
• Real Roots Counseling, PLLC (Real Roots Counseling, INC)
• Real You Electrolysis LLC
• Jerry L Reams, LMP
• Krista Reaves, EFTA
• Rebecca Alling

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.