Individual provider Active NPI

Elva J.M. Flannery, LMFT

  • Counselor
  • Belfair, WA
National Provider Identifier
1053885442
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LF61330091 Issued in WA
Practice address
100 East Lucas CRK Road
Belfair, WA 98528
Phone
(253) 228-0621
NPI assigned
Jan 18, 2019
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LF61330091 WA Primary

Addresses

Primary practice location

100 East Lucas CRK Road
Belfair, WA 98528

Mailing address

60 NE Ridge Point Blvd Unit 2937
Belfair, WA 98528-5535
Phone (253) 228-0621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219003145 WA Practitioner - Marriage and Family Therapist 2567806441 Practice locations: Belfair, WA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Belfair, WA 98528
Phone (253) 228-0621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1053885442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NE RIDGE POINT BLVD UNIT 2937",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985285535",
            "telephone_number": "253-228-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST LUCAS CRK ROAD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "98528",
            "telephone_number": "253-228-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "ELVA",
        "middle_name": "J.M.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LF61330091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

Verify at the official NPI Registry.